Salvage of the ruptured spleen in an infant with very low birth weight

Hemorrhage from the traumatized spleen needs surgical intervention if the p atient's cardiovascular status is unstable and not stabilizing with medical support. It is well recognized that salvage of the injured spleen is prefe rable to splenectomy because of risks of overwhelming postsplenectomy infec tion (OPSI). The authors report the case of a 746-g newborn with splenic he morrhage that required surgical intervention to control bleeding. A 2-compo nent fibrin tissue adhesive and a cellulose fabric were used: J Pediatr Sur g 35:1822-1823. Copyright (C) 2000 by W.B. Saunders Company. J Pediatr Surg 35:1822-1823. Copyright (C) 2000 by W.B. Saunders Company.