title: [Alternatives to splenectomy in the surgical treatment of splenic injuries].
abstract: 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.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Materno-Infantil, Las Palmas de Gran Canaria.
authors.forename: J
authors.initials: J
authors.lastname: Uroz Tristán
authors.forename: X
authors.initials: X
authors.lastname: García Urgellés
authors.forename: F
authors.initials: F
authors.lastname: Martínez Lagares
authors.forename: R
authors.initials: R
authors.lastname: Santana Ramírez
authors.forename: F
authors.initials: F
authors.lastname: Cruz Benavides
authors.forename: A
authors.initials: A
authors.lastname: Jiménez Bravo de Laguna
authors.forename: R
authors.initials: R
authors.lastname: Arteaga García
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D013154:Spleen / Q000293:injuries* / Q000601:surgery*
vernacular_title: Alternativas a la esplenectomía en el tratamiento quirúrgico de los traumatismos esplénicos.