Innovative minimally invasive pediatric surgery is of therapeutic value for splenic injury

Does a fibrin-collagen patch support early anastomotic healing in the colon? An experimental study

“…TachoComb has been used in different surgical procedures in adults and children [16,17]. Its composition is collagen of horse tendon, human fibrinogen, human thrombin and bovine aprotinin.…”

“…Its amount increases in early days of healing. Good results have been reported after its use in different clinical situations but its efficacy in colonic anastomosis is yet unknown [16,17].…”

Use of local pro-coagulant haemostatic agents for intra-cavity control of haemorrhage after trauma

“…Before the use of TachoSil, biliary fistula developed in 4/79 cases (5.1 %), whereas there were no post-operative bile leaks in 14 patients (3 trauma patients and 11 elective hepatic resections) treated with TachoSil. The use of TachoSil in emergency laparoscopy for splenic rupture has been described in 19 children [29]. Partial resection, splenectomy or switch to a conventional procedure was not required in any patients and all post-operative courses were complication-free.…”

Topical hemostasis in laparoscopic surgery

“…Benefits of devices application for spleen trauma or fragile damaged spleen or hematologic tumoral diseases and blood disorders have been reported in some studies (15)(16)(17)(18)(19). EndoGia is a very useful tool for the hemostatic vascular control of the splenic hilum.…”