Laparoscopic splenectomy with selective intracorporeal ligation of splenic hilar vessels for high-grade splenic injury - a video vignette

2018 ◽  
Vol 20 (3) ◽  
pp. 264-266 ◽  
Author(s):  
A. Birindelli ◽  
E. Segalini ◽  
A. Affinita ◽  
G. Tugnoli ◽  
S. Di Saverio
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
High Grade ◽  
Intracorporeal Ligation ◽  
Video Vignette

Myth And Facts About The Evolving Role of Laparoscopic Splenectomy In Isolated High Grades Splenic Injuries In Hemodynamically Stable Patients With Blunt Abdominal Trauma. Randomized Controlled Trial.

2021 ◽  
Author(s):  
Tamer.A. A.M. Habeeb ◽  
Gamal Osman ◽  
Amr Ibrahim ◽  
Mohamed Riad ◽  
Abd-Elrahman M. Metwalli ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Laparoscopic Group ◽  
Open Group ◽  
High Grade ◽  
Significant Difference

Abstract Background: Spleen is the most common intra-abdominal organ injury in blunt abdominal trauma. Splenectomy (open or laparoscopic) is the role in treatment of severe injuries of spleen or after failure of conservative treatment.Aim of the work: Compare the outcomes between open versus laparoscopic in high grade splenic injuries.Methods: This study includes 70 patients with various grades of splenic injuries in abdominal trauma. The patients were 15 years and older. They were categorized into two groups: open splenectomy group (35 patients) and laparoscopic splenectomy group (35 patients). The study was performed from January, 2012 to July 2017. Variables included demographics data, splenic injury graded by computerized tomography, duration of operation (in minutes), intra-operative blood loss (in ml), and intraoperative blood transfusion, length of hospital stay (in days), complications and mortality.Results: There was no significant difference or association between groups as regard age, sex and causes of splenic injury (p=0.374, 0.41, 0.38).Most cases were under 35 years old male patients exposed to motor car accidents. As regard intraoperative data, no statistically significant difference between both groups except for blood loss and transfusion that were statistically significant to the open group (p=0.039*).In the laparoscopic group, operational time was longer than open but no statistically significant (p=0.11).as regard conversion, we found that 14% of laparoscopic group (5 cases) had conversion. Most cases operated by laparoscopic approach were in grade III, IV with no cases tried in grade V (p=0.06). No statistically significant difference between both groups as regard postoperative variables except Pain (p=0.0003), and hospital stay(p=0.00) that were significantly longer among open group.The immediate postoperative complications showed that Wound infection, Missed injuries, pancreatic fistula and ileus were significantly higher among open group (p=0.00, 0.006, 0.02, 0.0004).The delayed postoperative complications where Incisional hernia (p=0.001) and Adhesive intestinal obstruction (p=0.00) were significantly associated with open group.Conclusion: In high-grade splenic injuries patients, this study found that laparoscopic splenectomy is safe.

Laparoscopic splenectomy after failure of nonoperative management – a video vignette

2021 ◽  
Author(s):  
Alessio Giordano ◽  
Alessandro Bruscino ◽  
Carlo Bergamini ◽  
Giovanni Alemanno ◽  
Andrea Valeri ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Nonoperative Management ◽  
Video Vignette

scholarly journals Splenic Artery Embolization for Patients with High-Grade Splenic Trauma: Indications, Techniques, and Clinical Outcomes

2021 ◽  
Vol 38 (01) ◽  
pp. 105-112
Author(s):  
Majd Habash ◽  
Darrel Ceballos ◽  
Andrew J. Gunn
Keyword(s):  
Clinical Outcomes ◽  
Splenic Artery ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Operative Management ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
High Grade ◽  
Artery Embolization ◽  
Splenic Artery Embolization

AbstractThe spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Hemodynamically stable patients selected for nonoperative management have improved clinical outcomes when splenic artery embolization is utilized. The purpose of this article is to review the indications, technical aspects, and clinical outcomes of splenic artery embolization for patients with high-grade splenic injuries.

scholarly journals Cost Utility of Splenic Artery Angioembolization for High-Grade Splenic Injury

2021 ◽  
Vol 89 (9) ◽  
pp. 2109-2115
Author(s):  
HAMADA R. ABDELKADER, M.D.; ABDELAZIZ A. ABDELHAFEZ, M.D. ◽  
AHMED M. ELBASIOUNY, M.D.
Keyword(s):  
Splenic Artery ◽  
Splenic Injury ◽  
Cost Utility ◽  
High Grade

Isolated high-grade splenic injury among pediatric patients in Japan: Nationwide descriptive study

2020 ◽  
Author(s):  
Makoto Aoki ◽  
Toshikazu Abe ◽  
Shuichi Hagiwara ◽  
Daizoh Saitoh ◽  
Kiyohiro Oshima
Keyword(s):  
Pediatric Patients ◽  
Splenic Injury ◽  
Descriptive Study ◽  
High Grade

Indications, techniques and outcomes of laparoscopic splenectomy for splenic injury

2015 ◽  
Vol 21 (6) ◽  
pp. 9
Author(s):  
M. A. Tlibekova ◽  
P. A. Yartsev ◽  
A. A. Guliaev ◽  
O. A. Chernysh ◽  
V. T. Samsonov ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury

scholarly journals Laparoscopic Splenectomy for Traumatic Splenic Injury after Screening Colonoscopy

2012 ◽  
Vol 6 (3) ◽  
pp. 624-628 ◽  
Author(s):  
Salim Abunnaja ◽  
Lucian Panait ◽  
J.Alexander Palesty ◽  
Shady Macaron
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Screening Colonoscopy

scholarly journals Overall Splenectomy Rates Stable Despite Increasing Usage of Angiography in the Management of High-grade Blunt Splenic Injury

2018 ◽  
Vol 268 (1) ◽  
pp. 179-185 ◽  
Author(s):  
Scott C. Dolejs ◽  
Stephanie A. Savage ◽  
Jennifer L. Hartwell ◽  
Ben L. Zarzaur
Keyword(s):  
Splenic Injury ◽  
High Grade ◽  
Blunt Splenic Injury
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