Successful laparoscopic splenorrhaphy using absorbable mesh for grade III splenic injury: report of a case. 1994

R H Koehler, and R S Smith, and W R Fry
Department of Surgery, Highland General Hospital, University of California-Davis, Oakland 94602.

We report herein on successfully performing a laparoscopic mesh splenorrhaphy in addition to blood salvage on a patient with a grade III splenic injury from blunt abdominal trauma. Given the lower success rates for nonoperative observation in grade III splenic trauma, we believe laparoscopic evaluation of splenic injury may offer an improved assessment over computed tomography (CT) scanning by localizing and quantitating the source of blood loss while at the same time enabling the surgeon to perform laparoscopically assisted blood salvage, autotransfusion, and laparoscopic repair. These advantages in diagnosis and therapy warrant further investigation into the role of laparoscopy in the evaluation and treatment of splenic trauma in selected stable patients.

UI MeSH Term Description Entries
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011100 Polyglycolic Acid A biocompatible polymer used as a surgical suture material. Polyglycolide,Biofix,Dexon (Polyester),Dexon-S,Dexon S,DexonS
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000042 Absorption The physical or physiological processes by which substances, tissue, cells, etc. take up or take in other substances or energy.
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013154 Spleen An encapsulated lymphatic organ through which venous blood filters.
D013161 Splenic Rupture Rupture of the SPLEEN due to trauma or disease. Rupture, Splenic,Ruptures, Splenic,Splenic Ruptures
D013526 Surgical Mesh Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal. Mesh, Surgical,Meshes, Surgical,Surgical Meshes
D020706 Laparoscopes ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity. Celioscopes,Peritoneoscopes,Laparoscope,Celioscope,Peritoneoscope

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