Splenic Capping

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Abstract
The use of polyglycolic acid (PGA) stretchable mesh applied to the experimentally injured canine spleen achieved satisfactory immediate hemostasis by tamponade and simplified the use of sutures to control remaining areas of hemorrhage. PGA mesh with 1/4 and 1/8 in. openings was utilized for splenorrhaphy in 12 adult mongrel dogs subjected to sharp splenic trauma. By gross and histologic examination, the PGA mesh material appeared to undergo progressive absorption to complete absorption by 85 days. For the 12 animals and 30 operative procedures, the only complications of the use of the mesh were the occurrence of an intrasplenic seroma in a single animal at 6 wk after operation and 3 wound infections. With this material, rapid, simple canine splenic injury repair was achieved. PGA mesh further assisted in the healing process and in maintaining maximum splenic architecture and function.