Nonoperative treatment of blunt splenic injury.
World J Surg
; 25(11): 1405-7, 2001 Nov.
Article
in En
| MEDLINE
| ID: mdl-11760743
ABSTRACT
A spleen-preserving program was implemented at the author's institution during the mid-1980s using a five-part injury-grading scale that is similar and comparable to the AAST classification. Since that time, all patients with splenic injuries admitted to the Department of Surgery at the Karl-Franzens University Hospital in Graz, a level I trauma center, have been prospectively evaluated with respect to splenic preservation. Analysis of the relation of the severity of organ injury to the use of nonoperative management showed that degree I or II injuries were treated nonoperatively, whereas degree III and IV injuries were usually treated with adhesives, partial resection, or mesh splenorrhaphy; only degree V injuries almost always required splenectomy. With increasing experience in nonoperative management of splenic injuries the initial criteria have become less rigid, and there is now a tendency to attempt it in patients who formerly would have undergone surgery.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spleen
/
Wounds, Nonpenetrating
Type of study:
Diagnostic_studies
/
Guideline
Limits:
Humans
Language:
En
Journal:
World J Surg
Year:
2001
Document type:
Article
Affiliation country:
Austria