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Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma

Sebastian K. Chung, MD1; Ashley Suah, MD2; Daven Patel, MD, MPH2; Nadim Michael Hafez, MD2; Brian Williams, MD2
1University of Massachusetts Medical School
2UChicago Medicine

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