The technique for the organ-sparing surgery in the traumatic rupture of the spleen, Grade I-III comprises laparotomy, the dissection of the gastrocolic ligament, the separation of the initial suprapancreatic part of the splenic artery, the ligation distally to the branching of the dorsal pancreatic artery, the closure of the splenic raptures with U-shaped interrupted catgut sutures bringing the band of the greater omentum with the peduncle to the suture line, the control of hemostasis, the sanitization of the peritoneal cavity, draining of the left subdiaphragmatic space, and the closure of the laparotomic wound. Upon the separation of the initial suprapancreatic part of the splenic artery, the provisional clamp is applied to the trunk of the splenic artery distally to the branching of the dorsal pancreatic artery. The hemostasis is controlled upon suturing the ruptures of the spleen and removing the clamp from the trunk of the splenic artery.
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