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Eur J Cardiothorac Surg 2005;28:167-168
© 2005 Elsevier Science NL

How-to-do-it

Fibrin sealant treatment of splenic injuries during oesophagectomy

Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK

Received 12 December 2004; received in revised form 2 February 2005; accepted 7 February 2005.

^* Corresponding author. Tel./fax: +44 1752 792327. (Email: paulmodi{at}doctors.org.uk).

The incidence of ‘accidental’ splenectomy during oesophagectomy varies from 4 to 42% and leads to an increase in sepsis, anastomotic leakage and mortality. Therefore, preservation of the spleen should be the aim of treatment whenever splenic injury occurs. We describe the use of fibrin glue delivered as a thin film by a spray applicator for rapid and definitive haemostasis of grades 1 and 2 splenic injuries in patients undergoing oesophagectomy.

Key Words: Spleen • Oesophagectomy • Iatrogenic • Fibrin tissue adhesive