scholarly journals Laparoscopic Splenectomy for Traumatic Splenic Injury after Screening Colonoscopy

2012 ◽  
Vol 6 (3) ◽  
pp. 624-628 ◽  
Author(s):  
Salim Abunnaja ◽  
Lucian Panait ◽  
J.Alexander Palesty ◽  
Shady Macaron
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Screening Colonoscopy

scholarly journals Splenic Injury with Subsequent Pleural Effusion: An Underreported Complication of Colonoscopy

2019 ◽  
Vol 13 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Idrees Suliman ◽  
John Guirguis ◽  
Iryna Chyshkevych ◽  
Nemer F. Dabage
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Pleural Effusion ◽  
Cancer Prevention ◽  
Conservative Management ◽  
Splenic Injury ◽  
Rare Complication ◽  
Routine Screening ◽  
Morbidity And Mortality ◽  
Screening Colonoscopy

Colorectal cancer is a leading cause of morbidity and mortality worldwide. As such, there are recognized guidelines in the screening of this preventable cancer. There are differences in opinion regarding screening recommendations between the European and United States Cancer Prevention Societies. Screening colonoscopy is an option for routine screening for colorectal cancer in asymptomatic adults. It is a day procedure that is conducted both in hospital and specialized outpatient endoscopy suites. Serious harm is in the region of 3 per 1,000 examinations [Am J Gastroenterol. 2016 Aug; 111(8): 1092–101]. Splenic injury is a rare complication of colonoscopy whose frequency is unclear. Conservative management of splenic injury is desirable in order to preserve immunocompetence. We present a case in which a previously healthy 59-year-old female developed a splenic injury and later pleural effusion after screening colonoscopy.

Myth And Facts About The Evolving Role of Laparoscopic Splenectomy In Isolated High Grades Splenic Injuries In Hemodynamically Stable Patients With Blunt Abdominal Trauma. Randomized Controlled Trial.

2021 ◽  
Author(s):  
Tamer.A. A.M. Habeeb ◽  
Gamal Osman ◽  
Amr Ibrahim ◽  
Mohamed Riad ◽  
Abd-Elrahman M. Metwalli ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Laparoscopic Group ◽  
Open Group ◽  
High Grade ◽  
Significant Difference

Abstract Background: Spleen is the most common intra-abdominal organ injury in blunt abdominal trauma. Splenectomy (open or laparoscopic) is the role in treatment of severe injuries of spleen or after failure of conservative treatment.Aim of the work: Compare the outcomes between open versus laparoscopic in high grade splenic injuries.Methods: This study includes 70 patients with various grades of splenic injuries in abdominal trauma. The patients were 15 years and older. They were categorized into two groups: open splenectomy group (35 patients) and laparoscopic splenectomy group (35 patients). The study was performed from January, 2012 to July 2017. Variables included demographics data, splenic injury graded by computerized tomography, duration of operation (in minutes), intra-operative blood loss (in ml), and intraoperative blood transfusion, length of hospital stay (in days), complications and mortality.Results: There was no significant difference or association between groups as regard age, sex and causes of splenic injury (p=0.374, 0.41, 0.38).Most cases were under 35 years old male patients exposed to motor car accidents. As regard intraoperative data, no statistically significant difference between both groups except for blood loss and transfusion that were statistically significant to the open group (p=0.039*).In the laparoscopic group, operational time was longer than open but no statistically significant (p=0.11).as regard conversion, we found that 14% of laparoscopic group (5 cases) had conversion. Most cases operated by laparoscopic approach were in grade III, IV with no cases tried in grade V (p=0.06). No statistically significant difference between both groups as regard postoperative variables except Pain (p=0.0003), and hospital stay(p=0.00) that were significantly longer among open group.The immediate postoperative complications showed that Wound infection, Missed injuries, pancreatic fistula and ileus were significantly higher among open group (p=0.00, 0.006, 0.02, 0.0004).The delayed postoperative complications where Incisional hernia (p=0.001) and Adhesive intestinal obstruction (p=0.00) were significantly associated with open group.Conclusion: In high-grade splenic injuries patients, this study found that laparoscopic splenectomy is safe.

Indications, techniques and outcomes of laparoscopic splenectomy for splenic injury

2015 ◽  
Vol 21 (6) ◽  
pp. 9
Author(s):  
M. A. Tlibekova ◽  
P. A. Yartsev ◽  
A. A. Guliaev ◽  
O. A. Chernysh ◽  
V. T. Samsonov ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury

scholarly journals Laparoscopic splenectomy as a definitive management option for high-grade traumatic splenic injury when non operative management is not feasible or failed: a 5-year experience from a level one trauma center with minimally invasive surgery expertise

2021 ◽  
Author(s):  
Arianna Birindelli ◽  
◽  
Matthew Martin ◽  
Mansoor Khan ◽  
Gaetano Gallo ◽  
...  
Keyword(s):  
Trauma Center ◽  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Laparoscopic Group ◽  
Bowel Function ◽  
Operative Management ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
Intention To Treat ◽  
Operative Recovery

AbstractTechnique, indications and outcomes of laparoscopic splenectomy in stable trauma patients have not been well described yet. All hemodynamically non-compromised abdominal trauma patients who underwent splenectomy from 1/2013 to 12/2017 at our Level 1 trauma center were included. Demographic and clinical data were collected and analysed with per-protocol and an intention-to-treat comparison between open vs laparoscopic groups. 49 splenectomies were performed (16 laparoscopic, 33 open). Among the laparoscopic group, 81% were successfully completed laparoscopically. Laparoscopy was associated with a higher incidence of concomitant surgical procedures (p 0.016), longer operative times, but a significantly faster return of bowel function and oral diet without reoperations. No significant differences were demonstrated in morbidity, mortality, length of stay, or long-term complications, although laparoscopic had lower surgical site infection (0 vs 21%).The isolated splenic injury sub-analysis included 25 splenectomies,76% (19) open and 24% (6) laparoscopic and confirmed reduction in post-operative morbidity (40 vs 57%), blood transfusion (0 vs 48%), ICU admission (20 vs 57%) and overall LOS (7 vs 9 days) in the laparoscopic group. Laparoscopic splenectomy is a safe and effective technique for hemodynamically stable patients with splenic trauma and may represent an advantageous alternative to open splenectomy in terms of post-operative recovery and morbidity.

Elective Laparoscopic Splenectomy for Grade III Splenic Injury in an Athlete

2002 ◽  
Vol 12 (4) ◽  
pp. 283-286 ◽  
Author(s):  
Gamal Mostafa ◽  
Brent D. Matthews ◽  
Ronald F. Sing ◽  
Dalton Prickett ◽  
B. Todd Heniford
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
Grade Iii

Laparoscopic splenectomy with selective intracorporeal ligation of splenic hilar vessels for high-grade splenic injury - a video vignette

2018 ◽  
Vol 20 (3) ◽  
pp. 264-266 ◽  
Author(s):  
A. Birindelli ◽  
E. Segalini ◽  
A. Affinita ◽  
G. Tugnoli ◽  
S. Di Saverio
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
High Grade ◽  
Intracorporeal Ligation ◽  
Video Vignette

Sedation and gender differences in screening colonoscopy - Impact on quality indicators

2011 ◽  
Vol 49 (05) ◽  
Author(s):  
C Bannert ◽  
K Reinhart ◽  
D Dunkler ◽  
M Trauner ◽  
W Weiss ◽  
...  
Keyword(s):  
Gender Differences ◽  
Quality Indicators ◽  
Screening Colonoscopy ◽  
And Gender
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