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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 5, No. 3, 2009, pp. 78-81
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Bioline Code: ma09020
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 5, No. 3, 2009, pp. 78-81
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Laparoscopic splenectomy in a case of blunt abdominal trauma
Agarwal, Narendra
Abstract
Splenic rupture is a frequent consequence of blunt abdominal trauma. Removal of the spleen (splenectomy) or alternative conservative procedures (splenorrhaphy, partial splenectomy and haemostatic collagen application) are surgical treatment options. Splenectomy was first described in 1910 by Sutherland. Laparoscopic splenectomy was first described in 1991 by Delaitre and Maignien. Since then significant improvements in instrumentation and technology such as harmonic scalpel, endovascular staplers have increased its ease of performance. Laparoscopic splenectomy for a ruptured spleen has been reported only in a few cases, in which a hand-assisted technique was used. We present the first reported case from India (to the best of our knowledge) of a successful removal of a ruptured spleen by means of a totally laparoscopic technique.
Keywords
Blunt abdominal trauma, laparoscopy India, splenectomy
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