title: [Treatment of traumatic splenic rupture in children].
abstract: The introduction of new techniques for reducing blood loss in operations on parenchymatous organs and of ultrasonography for screening the traumatized spleen and monitoring therapeutic management have made it possible to preserve this organ following injuries in childhood with increasing success over the past few years. An analysis of a sample of 48 children with splenic rupture (33 boys, 15 girls, aged between eleven months and four years) treated in our department between 1974 and 1989 illustrates this change of approach. 26 patients were splenectomized, in 14 cases the spleen was partly preserved, and 8 were just monitored.
authors.affiliation: Abteilung für Kinderchirurgie, I. Universitätsklinik für Chirurgie, Innsbruck.
authors.forename: J
authors.initials: J
authors.lastname: Hager
authors.forename: G
authors.initials: G
authors.lastname: Menardi
mesh_terms: D002675:Child, Preschool; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage; D006406:Hematoma / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D013154:Spleen / Q000637:transplantation; D013156:Splenectomy / Q000379:methods; D013161:Splenic Rupture / Q000175:diagnosis / Q000601:surgery*; D013536:Suture Techniques
chemical_list: D015718:Fibrin Tissue Adhesive
vernacular_title: Behandlung der traumatischen Milzruptur im Kindesalter.