Randomized clinical trial of ligasure™ versus conventional splenectomy for injured spleen in blunt abdominal trauma

Amirkazem, V. S. and Malihe, K. (2017) Randomized clinical trial of ligasure™ versus conventional splenectomy for injured spleen in blunt abdominal trauma. International Journal of Surgery, 38. pp. 48-51.

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Abstract

Background Spleen is the most common organ damaged in cases of blunt abdominal trauma and splenectomy and splenorrhaphy are the main surgical procedures that are used in surgical treatment of such cases. In routine open splenectomy cases, after laparotomy, application of sutures in splenic vasculature is the most widely used procedure to cease the bleeding. This clinical trial evaluates the role and benefits of the Ligasure™ system in traumatic splenectomy without using any suture materials and compares the result with conventional method of splenectomy. Methods After making decision for splenectomy secondary to a blunt abdominal trauma, patients in control group (39) underwent splenectomy using conventional method with silk suture ligation of splenic vasculature. In the interventional group (41) a Ligasure™ vascular sealing system was used for ligating of the splenic vein and artery. The results of operation time, volume of intra-operation bleeding and post-operative complications were compared in both groups. Results The mean operation times in control and interventional group were 21 and 12 min respectively (p < 0.05). The average volume of bleeding in control group during open splenectomy was 280 cc, but in the interventional group decreased significantly to 80 ml (p < 0.05) using the Ligasure system. Post-operative complications such as bleeding were non-existent in both groups. Conclusion The application of Ligasure™ in blunt abdominal trauma for splenectomy not only can decrease the operation time but also can decrease the volume of bleeding during operation without any additional increase in post-operative complications. This method is recommendable in traumatic splenic injuries that require splenectomy in order to control the bleeding as opposed to use of traditional silk sutures. © 2016 IJS Publishing Group Ltd

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Amirkazem, V.S.; Birjand University of Medical Sciences, General Surgery Department, Imam Reza Hospital, Taleghany St, Iran; email: vejdansa@yahoo.com
Uncontrolled Keywords: Ligasure Splenectomy Trauma abdominal blunt trauma adult Article comparative study controlled study emergency health service female human intermethod comparison laparotomy major clinical study male operation duration operative blood loss postoperative complication priority journal randomized controlled trial single blind procedure spleen injury surgical patient vessel sealing system aged complication devices Hemorrhage injuries middle aged Postoperative Complications procedures rupture spleen spleen artery splenic vein sutureless technique vascularization Wounds, Nonpenetrating young adult Humans Operative Time Splenic Artery Sutureless Surgical Procedures
Subjects: WH Hemic and Lymphatic System
WI Digestive System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib3 lib3
Date Deposited: 18 May 2020 03:48
Last Modified: 18 May 2020 03:48
URI: http://eprints.mums.ac.ir/id/eprint/16746

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