Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Splenic Autotransplantation after Blunt Spleen Injury in Children

  • Lee, Hojun (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Kang, Byung Hee (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Kwon, Junsik (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Lee, John Cook-Jong (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine)
  • Received : 2018.05.12
  • Accepted : 2018.07.23
  • Published : 2018.08.31
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Abstract

Non-operative management has been preferred in blunt spleen injury. Moreover children are more susceptible to post-splenectomy infection, spleen should be preserved if possible. However, splenectomy is inevitable to patients with severe splenic injury. Therefore splenic autotransplantation could be the last chance for preserving splenic function in these patients although efficacy has not proven. Here we reported four cases of children who were underwent splenic autotransplantation successfully after blunt trauma.

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References

  1. Stassen NA, Bhullar I, Cheng JD, Crandall ML, Friese RS, Guillamondegui OD, et al. Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012;73(5 Suppl 4):S294-300. https://doi.org/10.1097/TA.0b013e3182702afc
  2. Pisters PW, Pachter HL. Autologous splenic transplantation for splenic trauma. Ann Surg 1994;219:225-35. https://doi.org/10.1097/00000658-199403000-00002
  3. Shatz DV. Vaccination practices among North American trauma surgeons in splenectomy for trauma. J Trauma 2002;53:950-6. https://doi.org/10.1097/00005373-200211000-00023
  4. Massey MD, Stevens JS. Residual spleen found on denatured red blood cell scan following negative colloid scans. J Nucl Med 1991;32:2286-7.
  5. Tzoracoleftherakis E, Alivizatos V, Kalfarentzos F, Androulakis J. Complications of splenic tissue reimplantation. Ann R Coll Surg Engl 1991;73:83-6.
  6. Moore FA, Moore EE, Moore GE, Millikan JS. Risk of splenic salvage after trauma. Analysis of 200 adults. Am J Surg 1984;148:800-5. https://doi.org/10.1016/0002-9610(84)90441-0
  7. Buyukunal C, Danismend N, Yeker D. Spleen-saving procedures in paediatric splenic trauma. Br J Surg 1987;74:350-2. https://doi.org/10.1002/bjs.1800740507
  8. Miko I, Brath E, Furka I, Kovacs J, Kelvin D, Zhong R. Spleen autotransplantation in mice: a novel experimental model for immunology study. Microsurgery 2001;21:140-2. https://doi.org/10.1002/micr.1026
  9. Petroianu A, Petroianu LP. Splenic autotransplantation for treatment of portal hypertension. Can J Surg 2005;48:382-6.
  10. Di Carlo I, Pulvirenti E, Toro A. A new technique for spleen autotransplantation. Surg Innov 2012;19:156-61. https://doi.org/10.1177/1553350611419867