Medizinische Universität Graz - Research portal
Selected Publication:
Schaarschmidt, K; Kolberg-Schwerdt, A; Lempe, M; Saxena, A.
Ultrasonic shear coagulation of main hilar vessels: A 4-year experience of 23 pediatric laparoscopic splenectomies without staples.
J Pediatr Surg. 2002; 37(4):614-616
Doi: 10.1053/jpsu.2002.31620
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Saxena Amulya Kumar
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- Abstract:
- BACKGROUND: Ultrasonic shears (LCS) are used increasingly for laparoscopic splenectomy. So far however, all investigators use vascular staplers or clips for section of the main splenic artery and vein. METHODS: After several trials the authors started to use the ultrasonic triple welding technique in open surgery to occlude major vessels of 5 to 8 mm by 10-mm LCS. In June 1997 the authors introduced triple welding into laparoscopic splenectomy to mobilize the complete spleen by LCS. RESULTS: There was no hemorrhage in 23 laparoscopic splenectomies performed exclusively by LCS and no complications except 1 port site hernia. CONCLUSIONS: Laparoscopic splenectomy entirely by reusable LCS without clips and stapler is a safe, simple, and inexpensive technique. Moreover, the policy of "leaving nothing back" is an attractive strategy in endoscopic pediatric surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Child -
- Child, Preschool -
- Hemostasis, Surgical - methods
- Humans - methods
- Laparoscopy - methods
- Splenectomy - methods
- Splenic Artery - surgery
- Splenic Vein - surgery
- Surgical Instruments - surgery
- Sutures - surgery
- Ultrasonic Therapy - methods
- Find related publications in this database (Keywords)
- laparoscopy
- splenectomy
- spherocytosis
- ITP
- ultrasonic shears
- LCS
- clips
- stapler
- staples