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Volume 13 Issue 4 (April) 2024

Original Articles

A new technique to control bleeding from splenic injuries while splenic flexure mobilization during abdominal surgeries
Dr. Vaishali Jain, Dr. Charmi Patidar, Dr. Akshay Jain, Dr. Mayank Pancholi

Aim: The aim of this study is to achieve haemostasis in splenic injury caused during abdominal surgeries secondary to misplaced traction and tension on the spleen while splenic flexure mobilization through this technique in order to avoid splenectomy and direct splenic suturing (due to friability of spleen). Materials And Methods: This is a retrospective study undertaken on the patients undergoing abdominal surgeries where bleeding from lacerations (splenic capsule and parenchymal tears) in the spleen during colonic mobilization was near totally stopped using this technique. The final outcome was then analysed in detail. Results: Using this technique, near total haemostasis was achieved in all the patients having splenic capsular and parenchymal tears while mobilisation of splenic flexure during abdominal surgeries. Conclusion: This technique was easy to perform and done in very short time. It gives us mean observation time of 45 minutes (while the primary procedure is been performed and completed) to check the achievement of haemostasis. In every case it has proved to be successful in achieving near total haemostasis immediately.

 
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