The Use of Absorbable Mesh in Splenic Trauma

U‐stitching Splenorraphy Technique: Experimental and Clinical Study

“…In recent years it has been reported that preservation of the spleen both in adults and children, either by conservative treatment or by MIST, is preferable, and it can be safer for the patient 17,21 , 22 . Splenorraphy techniques in adults have shown a salvage rate from 38% to 89% 12 . In the present study the salvage rate was 54.9%.…”

“…Since then, several paediatric surgeons have suggested conservative management of splenic injury in children who were initially stable 3−9 . The conservative approach was also employed in adult patients with splenic trauma1 0,11 , and several studies on conservative treatment or minimally invasive surgical techniques (MIST) in children and adults have been reported during the last decades 3,12−17 .…”

Adult Splenic Injuries: Treatment Patterns and Predictive Indicators

“…There is a continuing trend away from immediate splenectomy, with its attendant risk of late sepsis, 1 , 2 towards conservation in traumatic injuries of the spleen 3 –5 . Conservation can be achieved by operative repair of the damaged organ 6 –8 or by careful observation while allowing natural haemostasis and healing to occur 9 , 10 . Being able to reliably select the group of patients who can safely be observed in this way remains a challenge and can be based on a number of features.…”

Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy

“…In this case, and when splenectomy can be avoided, the various operative techniques mentioned earlier may be utilized. A review of the literature revealed the effective use of mesh splenorrhaphy in splenic injuries ranging from Grade II to IV [6][7][8][9][10][11] of the American Association for the Surgery of Trauma (AAST) Splenic Injury Scale. 2 So mesh splenorrhaphy has been shown to be useful even in more severe trauma such as deep extensive tears involving both the hilar and diaphragmatic surfaces, where suture splenorrhaphy, coagulopathy and fibrin sealing could be too time consuming.…”