PMID: 8962801Jan 1, 1996Paper

Alternatives to splenectomy in the surgical treatment of splenic injuries

Cirugía pediátrica : organo oficial de la Sociedad Española de Cirugía Pediátrica
J Uroz TristanR Arteaga García

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.

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