[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.16.113.179. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 1964

Liver, Spleen, and Kidney WoundsExperimental Repair With Topical Adhesive

Author Affiliations

TUPPER LAKE, NY
From the Surgical Service, Veterans Administration Sunmount Hospital.

Arch Surg. 1964;89(2):237-243. doi:10.1001/archsurg.1964.01320020001001
Abstract

Conventional techniques for the repair of wounds of the liver in man include suture-ligatures, mattress sutures, electrocoagulation, hemostatic agents such as absorbable gelatin sponge (Gelfoam), gauze packing, and routine external drainage, or any combination of these measures. Debridement and partial resections are occasionally indicated. Crosthwait et al have summarized the current management of hepatic wounds. These methods leave much to be desired as regards rapid, secure hemostasis, control of surface leakage, reliable reconstitution, and the preservation of functional tissue. Hepatic wounds pose a particularly formidable problem because of vascularity, softness, and friability of this organ, which makes suturing difficult, and they are notoriously associated with secondary hemorrhage, bile leakage, and sepsis.

The spleen is a soft, friable, vascular structure, and repair of this organ is rarely undertaken; splenectomy is universally advocated.

Wounds of the renal parenchyma are amenable to conventional methods of repair, but nephrectomy is occasionally indicated.

Recent experimental

First Page Preview View Large
First page PDF preview
First page PDF preview
×