Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent. (10th August 2010)

• Record Type: Journal Article
• Authors: Costamagna, Daniela; Rizzi, Sabrina; Zampogna, Annunziatino; Alonzo, Amedeo
• Is Part Of: BMJ case reports. Volume 2010
• Publication Date: 2010-08-10
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.01.2010.2601
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A ruptured spleen caused by blunt abdominal injury is often treated by splenectomy. In view of the gravity of the 'postsplenectomy syndrome, ' a conservative approach has been increasingly used. We present the case of a 29-year-old man with a Grade III splenic lesion for a blunt abdominal trauma after a car accident. We performed a partial splenectomy of the upper pole using GIA-Stapler. A supplemental haemostasis of the stapled line was successfully achieved by the application of FloSeal matrix haemostatic agent. The splenic remnant was fixed into the left-upper quadrant using human fibrin glue.