Splenic salvage should be attempted when the splenic injury is isolated, and the patient is stable. If there are other organ injuries, or if the patient is unstable from blood loss from the splenic injury, splenic salvage generally should not be attempt­ed. For many splenic injuries, hemostasis and salvage can be accomplished by a variety of hemostatic techniques or suture splenorrhaphy. In patients with lacerations that extend deep into the splenic hilum, a partial splenic resection may be required. A patient’s spleen is rarely so macerated that the technique of using hemostatic agents, suture splenorrhaphy, or even partial resection are not sufficient to repair the badly injured spleen. A technique that is occasionally applicable to such patients is mesh splenorrhaphy. Since it is much more important to salvage a spleen in a young patient, this technique should only be applied when one is dealing with an otherwise young, healthy patient, who would be at risk for infections from encapsulated organisms if the spleen was removed.