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Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma

1. Introduction

2. FAST Exam

3. Exploratory Laparotomy

4. Splenectomy

  1. Approach and Exposure
  2. Release Splenorenal Ligament
  3. Release Splenocolic Ligament
  4. Release Splenophrenic Ligament and Control Short Gastrics
  5. Divide Hilum to Remove Spleen
  6. Hemostasis

5. Abdominal Exploration

6. Summary

7. Closure

  1. Debrief