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Eur J Cardiothorac Surg. 2005 Jul;28(1):167-8.

Fibrin sealant treatment of splenic injuries during oesophagectomy.

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  • 1Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK. paulmodi@doctors.org.uk


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.

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