Partial splenectomy

1. A part of the spleen is severely damaged or transversely injured. 2. Stomach, colon spleen, and injury during pancreatic surgery. Treatment of diseases: traumatic spleen rupture spleen rupture Indication 1. A part of the spleen is severely damaged or transversely injured. 2. Stomach, colon spleen, and injury during pancreatic surgery. Contraindications The patient is too old and should be filled with poor general condition. Preoperative preparation 1. Emergency surgery: When emergency surgery is required when the spleen ruptures, hemorrhagic shock should be prevented at the same time as preoperative preparation, so that the operation can be performed in the shortest time. Patients with severe spleen rupture, due to a large number of internal hemorrhage, often accompanied by hemorrhagic shock, need a large number of rapid blood transfusion, if necessary, arterial pressure transfusion, and adequate blood preparation. At the same time, attention should be paid to the multiple injuries of other organs and given treatment. Gastrointestinal decompression should be performed before surgery to prevent the stomach from expanding and hindering the exposure. Sufficient antibiotics should also be given to prevent infection. When the preoperative preparation is basically completed and the surgical instruments are ready, the operation should be stopped as soon as possible under anti-shock treatment, and should not wait for shock to correct. 2. Selective surgery: Chronic spleen diseases other than rupture should be elective surgery. Pay attention to improve the general condition, a small amount of blood transfusion, protect liver function, correct coagulation insufficiency, and perform necessary laboratory tests (including hemoglobin measurement, red blood cell count, total white blood cell count and classification, platelet count, vascular fragility test, bleeding time, clotting time, Prothrombin time, etc.). Gastrointestinal decompression should be performed before operation. For patients with esophageal varices, soft stomach tube should be selected. A small amount of liquid paraffin should be taken before the lower tube. Pay special attention to prevent major bleeding. Blood should be prepared before surgery to prepare for blood transfusion. Sufficient antibiotics should also be given. Surgical procedure 1. Inject the methylene blue solution through the splenic artery to show the boundaries of the spleen. 2. Ligation of the branches of the spleen artery and vein to be removed. 3. According to the limit shown by the above method, a part of the spleen is removed sharply. 4. The suture was stopped by suture, and the suture was paralleled with the section, and then covered with omentum.

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