Laparoscopic Splenectomy in Isolated High Grades Splenic Injuries

Zagazig University

Status: Completed

Conditions: Laparoscopic Surgery

Treatments: Procedure: open splenectomy; Procedure: laparoscopic splenectomy for splenic injury in trauma

Study type: Interventional

Funder types: Other

Identifiers

NCT04329845

zagazig 6

Details and patient eligibility

About

Background: Trauma laparoscopic splenectomy has no defined reasons. Compared trauma patient characteristics and results with laparoscopic and open splenectomies.

Methods: Patients aged 15 or older with blunt splenic injuries from January 2012 to July 2017 needed splenectomy. Demographics, splenic damage grade, approach (open or laparoscopic), surgery duration, intra-operative blood loss, transfusions, hospital stay, complications, and death were variables.

Full description

The spleen might be injured in left lower chest or upper abdomen trauma. Rib cage, diaphragm, pancreas, and bowel injuries may occur with splenic injuries. Hemodynamic instability, a rising heart rate, and low blood pressure are symptoms of damage, however the mechanism of injury requires a high index of suspicion.

Enrollment: 2 patients

Sex: All

Ages: 15 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • At least 15 years old.

  • Male and female (not pregnant) patients; • Sonar and CT scans before surgery showed single splenic damage;

Exclusion criteria

• • Other damage to the abdomen, thorax, or nerves were found before surgery.

  • good use of non-surgical treatment or embolization
  • Woman who is pregnant.
  • Splenic cuts that go deep.
  • Previous surgery in the upper abdomen using a laparoscopic method. • Other injuries to the abdomen found during surgery, such as liver, intestine, or bladder injuries.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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2 participants in 2 patient groups

open splenectomy for splenic injury in trauma

Active Comparator group

Description:

open splenectomy as a technique for removal of the spleen in case of injury to spleen

Treatment:

Procedure: open splenectomy

laparoscopic splenectomy for splenic injury in trauma

Active Comparator group

Description:

laparoscopic splenectomy as a technique for removal of the spleen in case of injury to spleen

Treatment:

Procedure: laparoscopic splenectomy for splenic injury in trauma