Organ-sparing treatment for closed spleen injuries in children.
The results of organ-saving treatment for 84 children with closed transcapsular spleen rupture were studied. Criteria for the stipulation of differential curative tactics were present. Twenty-five children were treated conservatively. In 57 patients, different endosurgical manipulations were done. Laparotomy was done in 5 patients, including 3 patients who primarily had endosurgical treatment. Long-term results were studied for 29 children. The followup period was from 3 months to 4 years. Investigators showed that recommended tactics helped save organs in > 90% of children with transcapular splenic injuries. The possibility of restoring splenic structure and functional activity and preventing hyposplenism was proven by orthotopic saving of injured spleens.
Rozinov
V M
VM
Scientific Research Institute of Paediatrics and Paediatric Surgery, Moscow, Russia.
Savel'ev
S B
SB
Keshishyan
R A
RA
Samoilov
V D
VD
Belyaeva
O A
OA
Pligina
E G
EG
Ryabinskaya
G V
GV
D002648:Child; D006465:Hemoperitoneum / Q000209:etiology / Q000628:therapy; D006801:Humans; D009104:Multiple Trauma / Q000628:therapy; D009852:Omentum / Q000601:surgery; D010537:Peritoneum / Q000601:surgery; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013161:Splenic Rupture / Q000601:surgery; D014463:Ultrasonography; D014656:Vascular Surgical Procedures / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery