[Conservative treatment of splenic and liver injuries in children].
Operative and conservative management of 44 children with injuries of the abdomen are reviewed retrospectively. Conservative treatment is well accepted for splenic injury. 12/26 children were thus treated during the period 1984-1988, and in the same 5 years, 9/18 children with hepatic injury were also treated conservatively. Indications for operation in splenic and liver injuries are: hemodynamic instability, evidence of associated severe intra-abdominal injuries, and blood transfusion of over 40 ml/kg during the resuscitation period. There was no mortality nor morbidity related to nonoperative management.
Erez
I
I
Dept. of Pediatric Surgery, Meir General Hospital, Kfar Saba.
Kovalivker
M
M
Lazar
L
L
Motovic
A
A
D002648:Child; D002675:Child, Preschool; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000293:injuries*; D008722:Methods; D012189:Retrospective Studies; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy