[Alternatives to splenectomy in the surgical treatment of splenic injuries].
Children with splenic trauma are managed conservatively in most circumstances, and the need for surgical interventions is very rare. When a surgical exploration is mandatory, splenic preservation is a worthwhile objective, using various suture methods, biomaterials, or resorbable prosteses. We present our experience over the 4 years with 9 severe splenic injuries. Six of this patients were treated operatively with a reabsorvable mesh, while the other 3 were managed percutaneosly by selective embolization of the splenic artery under fluoroscopic control. We describe our experience in the treatment of the splenic injuries in the last four years.
Uroz Tristán
J
J
Servicio de Cirugía Pediátrica, Hospital Materno-Infantil, Las Palmas de Gran Canaria.
García Urgellés
X
X
Martínez Lagares
F
F
Santana Ramírez
R
R
Cruz Benavides
F
F
Jiménez Bravo de Laguna
A
A
Arteaga García
R
R
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D013154:Spleen / Q000293:injuries* / Q000601:surgery*
Alternativas a la esplenectomía en el tratamiento quirúrgico de los traumatismos esplénicos.