The Surgical Treatment of Traumatic Injury of the Spleen

Givi Tsetskhladze, Zurab Chomakhashvili, Akaki Beridze, Nodar Lomidze

The questions connected with the surgical treatment of traumatic Injury of the spleen are of great variety. But at the same time according to the data from thematic literature, splenectomy is the best way of treatment, but it does not give satisfactory result. According to the above mentioned information we have come across 2 methods of surgical treatment of the spleen trauma. The first method is transference of the damaged spleen after appropriate cleaning into the exstraperitoneal space.(Certificate of authorship 5/ 5/5 2001 year, Tbilisi). This method was used 5(five) times. Another one is the method of spleen tissue transplantation into the ""pocket" of the big epiploon and transparence of this "pocket" with trasplantant exstraperitoneally. (Certificate of authorship 5/269, 2001 year, Tbilisi). This method was used 11(eleven) times. It was investigated not only the advantages of above mentioned methods, but also the results of using other organ - saving operations and splenectomy in order to treat the traumatic injury of the spleen.

Keywords:   spleen, trauma, organ-saving operations, auto transplantation, appendectomy