Management of splenic trauma
1992; Elsevier BV; Volume: 23; Issue: 1 Linguagem: Inglês
10.1016/0020-1383(92)90116-a
ISSN1879-0267
AutoresRichard H. Wilson, R J Moorehead,
Tópico(s)Congenital Anomalies and Fetal Surgery
ResumoThis article examines the current management of trauma to the spleen. The incidence, mechanism, classification, diagnosis, treatment and complications of splenic trauma are reviewed. Modern radiological investigations are assessed in view of the recent vogue for non-operative management. The effects of splenectomy and particularly of overwhelming post-splenectomy sepsis are discussed. The role of non-operative management of splenic injuries in children and in adults without associated injuries is emphasized. Means of repairing and preserving the spleen are detailed. Prompt splenectomy is necessary in seriously traumatized patients, especially those with head or multiple injuries.
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