Open AccessFibrin sealant treatment of splenic injuries during oesophagectomy
Author(s) -
Paul Modi,
J Rahamim
Publication year - 2005
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2005.02.045
Subject(s) - medicine , fibrin glue , fibrin , surgery , splenectomy , accidental , spleen , sealant , esophagectomy , sepsis , cancer , esophageal cancer , chemistry , physics , organic chemistry , acoustics , immunology
The incidence of 'accidental' splenectomy during oesophagectomy varies from 4 to 42% and leads to an increase in sepsis, anastomotic leakage and mortality. Therefore, preservation of the spleen should be the aim of treatment whenever splenic injury occurs. We describe the use of fibrin glue delivered as a thin film by a spray applicator for rapid and definitive haemostasis of grades 1 and 2 splenic injuries in patients undergoing oesophagectomy.