title: [Spleen-preserving surgery after blunt abdominal trauma with splenic hilum involvement].
abstract: BACKGROUND
  Splenic involvement secondary to blunt abdominal trauma is often treated by performing a splenectomy. The severity of the post-splenectomy syndrome is currently well known (blood loss, sepsis), so there is an increasing tendency to preserve the spleen. The case is presented of splenic preservation after blunt abdominal trauma with hilum involvement, emphasising the role of Floseal as a haemostatic agent, as well as the use of resorbable meshes to preserve the spleen.
  
  
  METHODS
  A 22-year-old woman presenting with a grade IV splenic lesion secondary to a blunt abdominal trauma after a traffic accident. Partial splenic resection was performed and bleeding was controlled with Floseal and use of a reinforcing polyglycolic acid mesh. No postoperative complications occurred, being discharged on day 5. The long-term follow-up has been uneventful.
  
  
  CONCLUSIONS
  The use of haemostatic agents such as thrombin and the gelatine gel (FloSeal) and the use of polyglycolic acid meshes enable spleen-preserving surgery, making it a feasible and reproducible procedure and an alternative to classical splenectomy.
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: jose_aurelionc@hotmail.com.
authors.forename: José Aurelio
authors.initials: JA
authors.lastname: Navas-Cuéllar
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Cañete-Gómez
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: López-Bernal
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Carla
authors.initials: C
authors.lastname: García-Rivera
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Felipe
authors.initials: F
authors.lastname: Pareja-Ciuró
authors.affiliation: Sección de Cirugía de Urgencias, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Padillo-Ruiz
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D000063:Accidents, Traffic; D004564:Electrocoagulation; D004630:Emergencies; D005260:Female; D005781:Gelatin Sponge, Absorbable; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical; D006489:Hemostatic Techniques; D006801:Humans; D022125:Lacerations / Q000601:surgery; D059351:Organ Sparing Treatments / Q000379:methods*; D011100:Polyglycolic Acid; D013154:Spleen / Q000293:injuries / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*; D013526:Surgical Mesh; D014949:Wounds, Nonpenetrating / Q000601:surgery*; D055815:Young Adult
chemical_list: C411004:FloSeal Matrix; D011100:Polyglycolic Acid
keywords: Agente hemostático quirúrgico; Bazo; Blunt abdominal trauma; Esplenectomía parcial; Malla reabsorbible; Partial splenectomy; Resorbable mesh; Spleen; Surgical haemostatic agent; Traumatismo abdominal cerrado