[Conservative treatment of the splenic traumas].
Authors hope for a growing diffusion of conservative treatments for lien's lesions, to avoid the asplenia syndrome, and the unfavourable implications derive from, above all immunodepression that increases septic risk. They report their experience about conservative choices for spleens traumatic injures and emphasize the absolute need of select the appropriate patients for those procedure, that must require: haemodynamics stability; not geriatric age; type I and II, according to Buntain's classifications, ien's lesions, and attentive selection of the patients carriers of type III lesions; absence of preceding spleens injures, opportunity of monitor patients, in immediate postoperative, in intensive care units. Authors suggest that one of the essential condition for the correct selection and achievement of conservative treatments of traumatic lien's injures, is the team work of the surgeon, of the anesthesiologist, of the radiologist. Conclude maintain that, conservative procedure for lien's lesions, must find a growing diffusion, but mention that is appropriate to not extend those treatments indications over the encoded ones.
Miniello
Stefano
S
Dipartimento per le Applicazioni in Chirurgia delle Tecnologie Innovative, Università degli Studi di Bari.
Nacchiero
Michele
M
Balzanelli
Mario Giosuè
MG
Cristallo
Graziana
G
Cavallo
Margherita
M
Lissidini
Germana
G
D000368:Aged; D006801:Humans; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy