Application value of suction-flushing electric coagulation in surgery of traumatic splenic rupture / 中国医师进修杂志

ABSTRACT

Objective:To explore the application value of the suction-flushing electric coagulation in surgery of the traumatic splenic rupture.Methods:The clinical data of 31 patients with traumatic splenic rupture in the Affiliated Huai′an No.1 People′s Hospital of Nanjing Medical University from January 2013 to December 2019 were retrospectively analyzed. All patients were treated with suction-flushing electric coagulation.Results:The intraoperative hemorrhage was 100 to 1 200 (551 ± 90) ml, the operative time was 60 to 210 (113 ± 36) min, and the postoperative fluid drainage volume was 120 to 650 (367 ± 66) ml. All patients recovered successfully after surgery, electrocoagulation hemostasis was performed in 5 patients with splenic rupture, 25 patients with total splenectomy, and spleen preserving surgery in 1 patient with spleen preserving surgery after pancreatic body transection. There were no splenic infarction, splenic infection and portal vein thrombosis after 1 to 6 months′ follow-up.Conclusions:Suction-flushing electric coagulation is convenient and effective in the treatment of traumatic splenic rupture.