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Splenic vessel control during laparoscopic splenectomy, ligasure, endoclips, or endo-GIA stapler: a comparative study
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Farouk Amin Mahmoud
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Surgery Wolters Kluwer - Medknow
Volume:
Keywords :
Splenic vessel control during laparoscopic splenectomy, ligasure,
Abstract:
Background Laparoscopic splenectomy became the gold standard operation for many splenic disorders, successful completion of the operation depends to a large extent on splenic size and control of bleeding, which mostly occurs due to capsular tears during dissection or mal control of the splenic vessels. Splenic vessels could be controlled by ligasure, endoclips, or endo-GIA staplers. Patients and methods In all, 48 patients undergoing laparoscopic splenectomy were allocated into three groups according to the way we controlled the splenic vessels, each group had 16 patients. In group I, the ligasure was used for sealing splenic vessels; in group II endoclips were used for vessel control, and in group III endo-GIA stapler was used for control and transection of the splenic pedicle. Results All cases were completed by a laparoscope except one patient in group II who was converted due to uncontrolled bleeding; blood loss and postoperative drainage were significantly higher in the second group. Ligasure use made dissection easy and safe. Ligasure and endo-GIA staplers helped in reducing the operative time. Conclusion Ligasure and endo-GIA staplers are superior to endoclip application for the control of splenic vessels during laparoscopic splenectomy. Their combination helps in reducing the operative time.
Author Related Publications
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Mohamed Farouk Amin Mahmoud, "Fully covered metallic mega stents use in the management of post-laparoscopic sleeve ?gastrectomy leakage, is it beneficial", SURGICAL CHRONICLES, 2019
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Mohamed Farouk Amin Mahmoud, "Stricture post Hepatico-Jejunostomy. Radiological and Endoscopic Management", Journal of Gastroenterology and Hepatology Research, 2019
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Mohamed Farouk Amin Mahmoud, "Additional value of qualitative strain ultrasound elastography and strain ratio in predicting thyroid malignancy", ELSEVIER, 2017
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Department Related Publications
Adel Mahmoud Attia Attia Morsi, "Use of prophylactic closed-incision negative-pressure therapy (CINPT) is associated with reduced surgical-site infections in patients undergoing open abdominal surgeries during the Covid-19 pandemic", Wolters Kluwer - Medknow, 2022
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Ahmed Mohamed Ahmed Yehia , ": Efficacy of Y-shaped bilateral self-expandable metallic stent placement for the management of malignant hilar biliary strictures", The Egyptian Journal of Surgery, 2019
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Hassan Rabei Jalal Abdulaziz, "Comparative study of laparoscopic ventral mesh rectopexy versus perineal stapler resection for external full‑thickness rectal prolapse in elderly patients: enhanced outcomes and reduced recurrence rates—a retrospective cohort study", SPRINGER-VERLAG ITALIA SRL, 2024
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Ehab Shehata Abdullah Ahmad, "Study of Feasibility of Simultaneous Laparoscopic Sleeve Gastrectomy and Cholecystectomy in Patients with Asymptomatic Cholelithiasis", Pan Arab League of Continuous Medical Education Ain Shams University, 2023
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Mohamed Mahmoud Mokhtar, "Changing the innate consensus about mesh fixation in trans-abdominal preperitoneal laparoscopic inguinal hernioplasty in adults: Short and long term outcome. Randomized controlled clinical trial", International Journal of Surgery, 2020
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