Blunt splenic trauma.
The treatment of blunt splenic injury has evolved over time from splenectomy in all patients to nonoperative management in stable patients with operation reserved for failures of NOM. While rates of OPSI remain low in trauma patients, splenic salvage in stable patients should be attempted. However, clinical evidence of ongoing blood loss or instability should be addressed with prompt splenectomy. Careful patient selection is of paramount importance in nonoperative management of blunt splenic injury.
Forsythe
R M
RM
Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA.
Harbrecht
B G
BG
Peitzman
A B
AB
D000007:Abdominal Injuries / Q000175:diagnosis* / Q000628:therapy*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006801:Humans; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating