The advantages of minimally invasive surgery, including a shorter hospitalization and reconvalescence time, justify the extension of application of treatment to disorders of solid abdominal organs. Of special interest in trauma surgery during childhood is splenic injury. If conservative treatment cannot be pursued because of increasing anemia, salvage surgery is superior to primary splenectomy to avoid serious complications such as overwhelming postsplenectomy sepsis. Laparoscopy allows abdominal inspection with a high degree of diagnostic accuracy and, where appropriate, performance of clotting procedures. Prerequisite is a fairly stable hemo-dynamic situation. As an example, we describe a laparoscopic splenic salvage by application of fibrin glue after a rupture with secondary hemorrhage caused by blunt abdominal trauma in a 10-year-old boy.
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