Single-Incision Laparoscopic Reduction and Splenopexy As a Treatment for Splenic Torsion in a Pediatric Patient: A Case Report

Purpose: Splenic torsion is a rare condition in children. Surgical treatments can be challenged, and traditionally require a laparotomy or a standard laparoscopy using multiple incisions. We present a case report of a splenic torsion managed using the single-incision laparoscopic (SIL) technique. Method: The operation was performed with the patient positioned at a 30-degree left side up on a Bean Bag. A vertical transumbilical incision was made, and a specially designed multiaccess SIL Port® (Covidien, Norwalk, CT) was inserted. The torsion spleen was reduced with standard laparoscopic instrument. A U-shape was made in a 20×25-cm Proceed® (Ethicon Endo-Surgery, Inc., Cincinnati, OH) mesh. The mesh was placed around the splenic hilum as a sling and stabled to the lateral abdominal wall using a 5-mm Endotack® device (Covidien). Results: The total operative time was 123 minutes. There was no intraoperative complication or conversion. A minigrasper through a stab incision was needed to help reduce th...