title: Organ-sparing treatment for closed spleen injuries in children.
abstract: 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.
authors.affiliation: Scientific Research Institute of Paediatrics and Paediatric Surgery, Moscow, Russia.
authors.forename: V M
authors.initials: VM
authors.lastname: Rozinov
authors.forename: S B
authors.initials: SB
authors.lastname: Savel'ev
authors.forename: R A
authors.initials: RA
authors.lastname: Keshishyan
authors.forename: V D
authors.initials: VD
authors.lastname: Samoilov
authors.forename: O A
authors.initials: OA
authors.lastname: Belyaeva
authors.forename: E G
authors.initials: EG
authors.lastname: Pligina
authors.forename: G V
authors.initials: GV
authors.lastname: Ryabinskaya
mesh_terms: 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