Low Morbidity Profile of Spleen Mesh Wrapping in Children

Abstract

Absorbable mesh wrapping is safe and effective for treating grade III/IV spleen ruptures in children. Complications are mostly minor, and resolve spontaneously. Major complications are rare and can usually be managed nonsurgically.

Noninvasive management for iatrogenic splenic injury caused by chest tube insertion: a case report

“…In emergency surgery for iatrogenic splenic injury, attempts to preserve the spleen must be made because of the risk of overwhelming postsplenectomy infection syndrome . Successful hemostasis with splenic preservation by some materials, such as fibrin glue, argon beam coagulation, and absorbable mesh wrapping, has been reported . Angiographic embolization of splenic bleeding has been reported as a noninvasive emergency management for iatrogenic splenic injury .…”

Blunt splenic trauma

“…16 -18 Splenic mesh wrapping is underutilized, although there is clinical evidence that it is safe and improves the chances of splenic salvage. 19,20 However, caution should be exercised in patients with associated hollow viscus injuries because of the risk of infection. In an experimental animal model study with intraperitoneal contamination, splenic mesh wrap was associated with an increased risk of infection.…”

“…The study population was divided into four subcategories based on the management of the splenic injury: observation (105 patients), successful angiographic embolization (48), splenorrhaphy (19), and splenectomy (97; Table 7). In the group of 108 patients with severe splenic injuries (grades IV-V), 13 (12%) were successfully managed with observation alone, 26 (24.1%) Table 9).…”