role of non-operative management for blunt splenic injuries in regarding operative management in all ages

ABSTRACT

Non-operative management of patient with blunt splenic injuries has become a preferred mode of management for hemodynamically stable patients. The operative management of patients with blunt splenic injuries still has the major role in this study. Twenty two patients [16 males and 6 females] proved to have splenic injury were selected for operative and non-operative management, 15 patients underwent direct laparotomy, 10 splenectomy and 5 partial splenectomy. The remaining 7 patients had underwent conservative non-operative management, 2 of them need surgical intervention. Although not advocating splenectomy as the treatment of choice for the adult population, this study recommended early operative intervention with an attempt at partial splenectomy