Non-operative management of adult blunt splenic injuries / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 246-248, 2006.
Article
in English
| WPRIM
| ID: wpr-280902
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the indication of non-operative management of adult blunt splenic injuries.</p><p><b>METHODS</b>A retrospective review was performed on all adult patients (age>15 years) with blunt splenic injuries admitted to the department of vascular surgery of Pellegrin hospital in France from 1999 to 2003. We managed splenic injuries non-operatively in all appropriate patients without regard to age.</p><p><b>RESULTS</b>During the 4 years, 54 consecutive adult patients with blunt splenic injuries were treated in the hospital. A total of 27 patients with stable hemodynamic status were treated non-operatively at first, of which 2 patients were failed to non-operative treatment. The successful percentage of non-operative management was 92.6%. In the 54 patients, 7 of 8 patients older than 55 years were treated with non-operative management. Two cases developing postoperatively subphrenic infection were healed by proper treatment. In the series, there was no death.</p><p><b>CONCLUSIONS</b>Non-operative management of low-grade splenic injuries can be accomplished with an acceptable low-failure rate. If the clinical and laboratory parameters difficult for surgeons to make decisions, they can depend on Resciniti's CT (computed tomography) scoring system to select a subset of adults with splenic trauma who are excellent candidates for a trial of non-operative management. The patients older than 55 years are not absolutely inhibited to receive non-operative management.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spleen
/
General Surgery
/
Therapeutics
/
Wounds and Injuries
/
Wounds, Nonpenetrating
/
Multiple Trauma
/
Retrospective Studies
/
Hematocrit
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Journal of Traumatology
Year:
2006
Type:
Article
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