Laparoscopic repair of penetrating splenic injury

Puya Davoodi, Cristina Budde, Christian T Minshall

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Historically, all splenic injuries were treated with splenectomy. In recent decades, however, there has been a trend toward splenic conservation methods in an attempt to preserve immunologic functions. Although cases of splenic conservation in the setting of penetrating injuries exist in the literature, this method of management is more commonly attempted in blunt traumas. When presented with penetrating splenic trauma, surgeons generally still proceed directly to exploratory laparotomy with splenectomy. Splenic injuries are rarely repaired with splenorrhaphy due to surgeon inexperience and concern for reoperation. We conclude from this case that when presented with a penetrating splenic trauma in a hemodynamically stable patient, management by laparoscopic exploration with splenorrhaphy can be safe and effective.

Original languageEnglish (US)
Pages (from-to)795-798
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume19
Issue number6
DOIs
StatePublished - Dec 1 2009

ASJC Scopus subject areas

  • Surgery

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