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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0120102601.
Published online 2010 August 10. doi:  10.1136/bcr.01.2010.2601
PMCID: PMC3027402
Novel treatment (new drug/intervention; established drug/procedure in new situation)
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
Correspondence to Daniela Costamagna, daniela_costamagna/at/hotmail.com
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.
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