ABSTRACT
Indications Splenorrhaphy is indicated when the grade of splenic injury requires repair, but
does not require splenectomy. Minor injuries (e.g., Grade I capsular tear) should be treated with local measures or topical hemostasis and do not require splenorrhaphy. In general, Grade II and III spleen injuries would have the greatest likelihood of benefiting from splenorrhaphy. If possible, it is always desirable to preserve spleen mass and function to minimize the risk of late infection or immune defects.
