[Treatment of closed spleen injuries with intraabdominal bleeding in children].
The aim of the study was to substantiate the conservative treatment of closed spleen injuries in children. Laparoscopic method was used in 42 patients and conservative protocol was observed in 36 cases. Laparoscopy allowed to avoid a major surgical operation in 29 (69%) patients. Splenectomy was performed in 12 (28,6%) patients. Splenectomy was performed once due to continuent bleeding in group of conservatively treated patients. Long-term follow-up results demonstrated absence of clinical signs of adhesive obstruction and spleen pseudoaneurisms, free blood dissolution from the abdominal cavity during 1-6 months after treatment.
Podkamenev
V V
VV
Iurkov
P S
PS
Mikhaĭlov
N I
NI
Ivanov
V O
VO
Nigamad'ianov
N R
NR
D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012189:Retrospective Studies; D013154:Spleen / Q000293:injuries*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery