c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Surgical Anatomy of the Abdomen: 31

A D V E R T I S E M E N T

   
 

Grade IV and V injuries are surgically managed because of a 100% failure rate of non-operative management. 

Related topic: Splenectomy for Grade IV Injury      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Surgical Anatomy of the Abdomen: 32

A D V E R T I S E M E N T

   
 

The spleen is attached by peritoneal reflections to multiple surrounding structures. These attachments must be successively divided to mobilize the spleen. The tail of the pancreas is usually within 1-2 cm of the lower end of the splenic hilum, where it is subject to injury in the course of splenectomy. Accessory spleens must be identified when doing splenectomy for hematologic conditions in which the spleen consumes formed blood elements. 

Related topics: Spleen Anatomy, Accessory Spleen: Clinical Example     

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Surgical Anatomy of the Abdomen: 33

A D V E R T I S E M E N T

   
 

The gastrosplenic ligament lies flat between the gastric surface of the spleen and the posterolateral gastric wall. Retracting the stomach to the right stretches the ligament for division. The splenorenal peritoneal reflection (ligament) lies inside the posterior lip of the spleen. The caudal end of this reflection, where division is begun, is exposed by mobilizing the splenic flexure. Blunt dissection of the splenorenal plane continues behind the tail of the pancreas. The same principles of mobilization apply in open or laparoscopic splenectomy. 

Related topics: Spleen Anatomy, Laparoscopic ITP Splenectomy    

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 9/25/2005.