[Can splenectomy still be done in children?].
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Biomedical subjects
Publications and source records attributed to B Hodin.
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Two instruments, one of Russian origin, using very fine Tantale clips, permit one to carry out easily mechanical suture during operations on the digestive tract. These two instruments may be associated. The suture obtained is very safe, whether inversing or eversing. This method of suture seems to be particularly applicable to oesophageal and colonic anastomoses.
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Resolutely convinced of the necessity to preserve the spleen in all circumstances, the authors detail the indications and possibilities of non operative management and conservative surgery that allow the injured spleen to be salvaged. Of 55 cases observed from 1978 to 1982, only 22 required splenectomy because of our new experience; 13 of the remaining cases were treated non operatively and 20 had a conservative surgery. It is concluded that unless the child prognosis is directly and immediately involved, by the splenic injury (such cases require splenectomy or better still partial resection) every effort should be made to preserve a traumatized spleen.