A simplified approach to techniques of splenic salvage
Trooskin, S.Z.; Flancbaum, L.; Boyarsky, A.H.; Greco, R.S.
Surgery Gynecology and Obstetrics 168(6): 546-548
1989
ISSN/ISBN: 0039-6087 PMID: 2658170 Document Number: 341290
Splenic salvage or partial splenectomy may be simplified by following these basic steps. The spleen is completely mobilized from all of its attachments so that it is tethered only by its blood supply. Appropriate hilar and short gastric vessels are ligated, and devitalized splenic tissue is débrided. Parenchymal bleeding is controlled by compression using horizontal mattress sutures placed through pledgets of folded sheets of oxidized cellulose.