損傷脾の縫合修復に関する臨床的・実験的研究

概要

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I. Effort has been made to save the spleen in four children, aged 5 to 14 years, with blunt abdominal trauma during the past two years. Three spleens out of the four were affected by a transverse laceration, and the other by a vertical one. All four spleens were well preserved by suture repair of the laceration. The clinical course and the surgical procedure of the splenic repair as of the case with the most extensive splenic laceration were reported. II. Four different types of splenic wounds were created in mongrel dogs to study the effects of suture repair on healing process. Transverse lacerations healed easily within a few postoperative weeks. Even a large vertical laceration, which seemed to be anatomically the most difficult type to heal, could be repaired by a simple suture maneuver. The radioisotope scan showed almost normal uptake of the repaired spleens, and the histological examination revealed satisfactory healing a month postoperatively. As a conclusion, it could be said that the suture repair is an usuful method in preserving the ruptured spleen in the event of an accidental injury, and that every effort should be made to preserve the spleen after traumatic rupture.
日本小児外科学会の論文