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Case Reports
Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent.
- Daniela Costamagna, Sabrina Rizzi, Annunziatino Zampogna, and Amedeo Alonzo.
- Department of General and Emergency Surgery, Azienda Ospedaliero Universitaria Maggiore della Carità di Novara, Novara, Italy. daniela_costamagna@hotmail.com
- BMJ Case Rep. 2010 Jan 1;2010.
AbstractA 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.
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