[Splenic conservation in gunshot wounds].
The spleen is a frequently injured organ in abdominal trauma. Because of complications, specially post-splenectomy sepsis, conservative treatment is recommended whenever possible, either by adequate medical treatment or by conservative surgery. 65 consecutive cases of proven splenic injuries by bullets or shrapnells were admitted at St George's Hospital between 1978 and 1987. Splenectomy was done in 55 patients with almost always abdominal or thoracic associated lesions. 7 patients had a conservative surgical treatment (suture 3 cases, suture with epiploplasty 2 cases, suture with Gelfoam 1 case, partial resection with epiploplasty 1 case). 3 cases had a conservative medical treatment. Clinical, biological and radiological criterias for a medical or conservative surgical management, are defined.
Service de Chirurgie, l'Hôpital Saint-Georges, Beyrouth.
M
M
Daher
Y
Y
Nassif
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002985:Clinical Protocols / Q000592:standards; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D007861:Lebanon / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy / Q000379:methods / Q000706:statistics & numerical data*; D013536:Suture Techniques; D014948:Wounds, Gunshot / Q000145:classification / Q000453:epidemiology / Q000601:surgery*
Conservation splénique dans les plaies par armes à feu.