Partial splenectomy using a coupled saline-radiofrequency hemostatic device

Background Partial splenectomy is indicated for benign tumors and cysts of the spleen, as well as, operative management of splenic trauma limited to one pole of the spleen. Despite improved technique, bleeding from the cut surface of the spleen still remains an obstacle. Methods We describe our technique for partial splenectomy using a new device based on coupling saline with radiofrequency energy to achieve hemostasis while dividing the splenic parenchyma. Results Use of this technique has led to blood loss of less than 50 cc, while achieving splenic preservation.