title: Nonoperative management of blunt splenic injury: what is new?
abstract: The majority of splenic injuries are currently managed nonoperatively. The primary indication for operative management of blunt splenic injury is hemodynamic instability. Findings which correlate with failure of nonoperative management include grade IV or V splenic injury, high Injury Severity Scores, or active extravasation. The role of angiograph/embolization is becoming better defined, appropriate in the patient with pseudoaneurysm or active extravasation or the stable patient with grade IV or V splenic injury.
authors.affiliation: Department of Surgery, F-1281, UPMC-Presbyterian, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
authors.forename: G A
authors.initials: GA
authors.lastname: Watson
authors.forename: M K
authors.initials: MK
authors.lastname: Hoffman
authors.forename: A B
authors.initials: AB
authors.lastname: Peitzman
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D015601:Injury Severity Score; D017410:Practice Guidelines as Topic; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000293:injuries; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*