Management of splenic trauma in children

ABSTRACT

To study the possibility of conservative management of splenic injuries in children with isolated and non-severe lesions. Patients and The records of 39 pediatric patients [<18 y] with splenic injures from blunt trauma were reviewed in this retrospective study which covered 6 years. We identified 3 groups Group I [n = 17] operative group in unstable or polytraumatized children. Group II [n = 7] delayed operative group in children with associated injuries. Group III [n = 15] absence of associated injuries. Conservative management. There was no statistical difference between group II and III concerning length of hospitalization and volumes of transfused blood. In these groups, volume transfused seemed to correlate with associated lesions These data confirm that the majority of children with blunt splenic injury can be successfully treated without surgery. In cases of instability, multiple associated lesions, or suspected intestinal disruption confirmed by peritoneal lavage, early operation must be recommended