Can spleen be sutured?
It is concluded that splenic lacerations are usually amenable to suture repair, and splenorrhaphy, not splenectomy, is the treatment of choice for splenic injury.
What is spleen preserving surgery?
Two major spleen-preserving procedures are the Warshaw procedure, which conserves the spleen by blood flow from the short gastric vessels, and the Kimura procedure, which preserves the spleen with splenic vessels [6, 7].
What is splenic salvage?
Definition. The spleen with its fragile parenchyma and thin capsule is commonly injured by concussive forces inflicted during significant blunt torso trauma. Patients shot or stabbed in the left upper quadrant of the abdomen can sustain laceration, puncture, or disruption.
Is splenectomy an emergency surgery?
An emergency splenectomy is an appropriate operative intervention for a grade V splenic laceration with hemoperitoneum, splenomegaly, and axillary lymphadenopathy regardless of the potential for a neoplastic process such as B-cell CLL.
Who discovered stitches?
The Greek father of medicine, Hippocrates, described suture techniques, as did the later Roman Aulus Cornelius Celsus. The 2nd-century Roman physician Galen described gut sutures. In the 10th century, the catgut suture along with the surgery needle were developed by Abulcasis.
Why is the spleen removed during pancreatic surgery?
Why is a spleen removed in distal pancreatectomy? A spleen may be removed during the surgery because the artery supplying the spleen lies along the body and tail of the pancreas. Because of this, the blood vessel can get blocked, and infection or tumor can spread to the spleen.
Where is distal pancreas?
Specifically, “distal” or “caudal” is used to refer to the body and tail of the pancreas, and “proximal” (and presumably “cephalad”) refers to the end containing the head and uncinate process. With this usage, one performs a distal pancreatectomy when a tumor arises from the tail of the pancreas.
What is spleen trauma grading?
Spleen trauma is graded from 1 to 5 in increasing order of severity. Grade 1 is less than 10% of surface area involved in hematoma or capsule laceration less than 1 cm. Grade 2 is hematoma 10 to 50% of surface or capsule laceration 1 to 3 cm in depth.
What is a Grade 5 splenic laceration?
The grading is based on the CT scan, operative, or autopsy findings. There are five grades of splenic injury (Fig. 1; Table 1). Generally, grades I and II are considered as minor injuries, grade III as a moderate injury, and grades IV and V as severe injuries (Figs. 2–6).