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Splenic Salvage by the Use of Fibrin Tissue Adhesive

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Fibrin Sealant in Operative Medicine

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Abstract

A biologic tissue sealant has been used for repair of traumatic and incidental splenic lesions in 188 patients, and for elective splenic resection in 10 cases. The technical details of fibrin adhesive application, including the combination with a collagen fleece, are described. Complete hemostasis was achieved in 183 patients. In five of them, rebleeding required delayed splenectomy. However, in incidental splenic lesions the success rate of the method was 92%, and the overall salvage rate 84%. The corresponding figures for traumatic injury were 83% and 55%, and for elective splenic resection 100%. It can be concluded that the use of fibrin tissue adhesive is a safe and reliable method for repair of the majority of incidental and traumatic splenic injuries and facilitates elective splenic resection.

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References

  1. Askergren J, Bjoekholm M (1980): Postsplenectomy septicemia in Hodgkin’s disease and other disorders. Acta Chir Scand 146:569–575

    PubMed  CAS  Google Scholar 

  2. Bradshaw PH, Thomas CG (1982: Partial splenectomy and overwhelming infection in rats. J Surg Res 32:2207–2208

    Google Scholar 

  3. Buntain WL, Lynn HB (1979): Splenorrhaphy: changing concepts for the traumatized spleen. Surgery 86:748–760

    PubMed  CAS  Google Scholar 

  4. Burrington JD (1977): Surgical repair of a ruptured spleen in children. Arch Surg 112:417–419

    Article  PubMed  CAS  Google Scholar 

  5. Chilcote RR, Bachner RL, Hammond D (1976): Septicemia and meningitis in children splenectomized for Hodgkin’s disease. N Engl J Med 295:798

    Article  PubMed  CAS  Google Scholar 

  6. Cioffiro W, Schein CJ, Gliedman ML (1976): Splenic injury during abdominal surgery. Arch Surg 111: 167–171

    Article  PubMed  CAS  Google Scholar 

  7. Cooney DR, Dearth JC, Swanson SE, Dewanjee MK, Telander RL (1979): Relative merits of partial splenectomy, splenic reimplantation, and immunization in preventing postsplenectomy infection. Surgery 86:561–568

    PubMed  CAS  Google Scholar 

  8. Delany HM, Porreca F, Mitsudo S, Solanki B, Rudavski A (1982): Splenic capping: an experimental study of a new technique for splenorrhaphy using woven polyglycolic acid mesh. Ann Surg 196:187–193

    Article  PubMed  CAS  Google Scholar 

  9. Dixon JA, Miller F, McCloskey D, Siddoway J (1980) Anatomy and techniques in segmental splenectomy. Surg Gynecol Obstet 150:516–520

    PubMed  CAS  Google Scholar 

  10. Ein SH, Shandling B, Simpson JS, Stephens CA, Bandi SK, Biggar WD, Freedman MH (1977): The morbidity and mortality of splenectomy in childhood. Am Surg 185:307–310

    CAS  Google Scholar 

  11. Gupta LD, Gupta SC, Arora AK, Jeya Singh P (1976): Vascular segments in the human spleen. J Anat 121:613

    PubMed  CAS  Google Scholar 

  12. Guthy E, Kiefhaber P, Naht G, Kreitmair A (1979): Infrarot-Kontaktkoagulation. Langen-becks Arch Chir 348:105–108

    Article  CAS  Google Scholar 

  13. Guzzetta PC, Stolar CH, Potter BM, Broadman L, Ruley EJ (1983): Partial splenic ablation in preparation for renal transplantation in children. J Pediatr Surg 18:800–803

    Article  PubMed  CAS  Google Scholar 

  14. Haque AU, Hudson P, Wood G, Lindsey NJ (1984): Splenic autotransplant and residual partial spleen: prevention of septicemia. Jpn J Surg 14:407–412

    Article  PubMed  CAS  Google Scholar 

  15. Horton J Ogden ME, Williams S, et al (1982) The importance of splenic blood flow in clearing pneumococcal organisms. Ann Surg 195:172–176

    Article  PubMed  Google Scholar 

  16. Keramidas DC (1979) The ligation of the splenic artery in the treatment of traumatic rupture of the spleen. Surgery 85:530–533

    PubMed  CAS  Google Scholar 

  17. Mishalany HG, Miller JH, Woolley MM (1982): Radioisotope spleen scan in patients with splenic injury. Arch Surg 117:1147–1150

    Article  PubMed  CAS  Google Scholar 

  18. Morgenstern L, Shapiro SJ (1979): Techniques of splenic conservation. Arch Surg 114: 449–453

    Article  PubMed  CAS  Google Scholar 

  19. O’Neal BJ, McDonald JC (1981): The risk of sepsis in asplenic adults. Ann surg 194:775–778

    Article  PubMed  Google Scholar 

  20. Peters TG, Williams JW, Harmon HC, Britt LG (1983): Splenectomy and death in renal transplant patients. Arch Surg 118:795–799

    Article  PubMed  CAS  Google Scholar 

  21. Roth H, Daum R, Bolkenius M (1982): Partielle Milzresektion mit Fibrinklebung eine Alternative zur Splenektomie und Autotransplantation. Z Kinderchir: 2–7

    Google Scholar 

  22. Scheele J (1981): Erste klinische Erfahrungen mit der Fibrinklebung bei traumatischer und intraoperativer Milzverletzung. Chirurg 52:531–534

    PubMed  CAS  Google Scholar 

  23. Scheele J, Gentsch HH, Matteson E (1984): Splenic repair by fibrin tissue adhesive and collagen fleece. Surgery 95:6–13

    PubMed  CAS  Google Scholar 

  24. Seufert RM, Boetcher W, Munz D, Heusermann U (1981) Erste klinische Erfahrungen mit der heterotopen Autotransplantation der Milz. Chirurg 52:525–530

    PubMed  CAS  Google Scholar 

  25. Sherman R (1980): Perspectives in management of trauma to the spleen. J Trauma: 20:1–13

    PubMed  CAS  Google Scholar 

  26. Solheim K (1979): Non-operative management of splenic rupture. Acta Chir Scand 145: 55–58

    PubMed  CAS  Google Scholar 

  27. Strauch St, Schellong G, Wannenmacher M (1984): Abgestufte Chemotherapie und reduzierte Strahlentherapie beim Morbus Hodgkin im Kindesalter: Zwischenbericht der kooperativen Therapiestudie HD 82. Onkologie 7:217–219

    Article  PubMed  CAS  Google Scholar 

  28. Touloukian R (1983) Discussion remarks to Guzzetta et al (13). J Pediatr Surg 18:804

    Google Scholar 

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Authors
  1. J. Scheele
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Editor information

Editors and Affiliations

  1. Ludwig-Boltzmann-Institut für experimentelle Traumatologie, Donaueschingenstr. 13, A-1200, Vienna, Austria

    Günther Schlag  & Heinz Redl  & 

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© 1986 Springer-Verlag Berlin Heidelberg

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Scheele, J. (1986). Splenic Salvage by the Use of Fibrin Tissue Adhesive. In: Schlag, G., Redl, H. (eds) Fibrin Sealant in Operative Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95513-6_10

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  • DOI: https://doi.org/10.1007/978-3-642-95513-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-17280-2

  • Online ISBN: 978-3-642-95513-6

  • eBook Packages: Springer Book Archive

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