Blunt splenic trauma: Assessment, management and outcomes

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Moamena El-MatboulyHassan Al-Thani

Abstract

The approach for diagnosis and management of blunt splenic injury (BSI) has been considerably shifted towards non-operative management (NOM). We aimed to review the current practice for the evaluation, diagnosis and management of BSI. A traditional narrative literature review was carried out using PubMed, MEDLINE and Google scholar search engines. We used the keywords "Traumatic Splenic injury", "Blunt splenic trauma", "management" between December 1954 and November 2014. Most of the current guidelines support the NOM or minimally approaches in hemodynamically stable patients. Improvement in the diagnostic modalities guide the surgeons to decide the timely management pathway Though, there is an increasing shift from operative management (OM) to NOM of BSI; NOM of high grade injury is associated with a greater rate of failure, prolonged hospital stay, risk of delayed hemorrhage and transfusion-associated infections. Some cases with high grade BSI could be successfully treated conservatively, if clinically feasible, while some patients with lower grade injury might end-up with delayed splenic rupture. Therefore, the selection of treatment modalities for BSI should be governed by patient clinical presentation, surgeon's experience...Continue Reading

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Citations

Jul 12, 2018·Revista do Colégio Brasileiro de Cirurgiões·Daniel Linhares CardosoAntônio José Grande
Apr 11, 2018·Military Medicine·Dean NachmanHagit Padova
Mar 7, 2020·World Journal of Emergency Surgery : WJES·Adriana ToroIsidoro Di Carlo
Jun 15, 2017·World Journal of Surgery·Ayman El-MenyarHassan Al-Thani
Sep 22, 2020·ANZ Journal of Surgery·Doruk SeyfiMark Rice
Aug 23, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Apr 10, 2019·Emergency Radiology·Ellen X SunAaron D Sodickson
Jul 26, 2018·Praxis·Daniel SandnerAndreas D Kistler
Apr 23, 2021·Seminars in Interventional Radiology·A S PillaiA K Pillai

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