Non-operative management in blunt splenic trauma

Notash, A. Yaghoubi; Amoli, H. Ahmadi; Nikandish, A.; Kenari, A. Yazdankhah
April 2008
Emergency Medicine Journal;Apr2008, Vol. 25 Issue 4, p210
Academic Journal
The article reports on the outcomes of non-operative therapy for adult patients with blunt splenic injuries in a tertiary trauma center in Tehran, Iran. Treatment categories were non-operative management, emergent laparotomy, and partial or total laparotomy following failed non-operative management. Several factors that determined treatment type were age, Glasgow coma score, spleen injury score, hospitalization period and blood transfusion volume.


Related Articles

  • Management of the Retained Knife Blade. Sobnach, Sanju; Nicol, Andrew; Nathire, Hassed; Kahn, Delawir; Navsaria, Pradeep // World Journal of Surgery;Jul2010, Vol. 34 Issue 7, p1648 

    The retained knife blade is an unusual and spectacular injury. The aim of this study was to review our experience with the management of such injuries. A retrospective chart review of patients with retained knife blades treated at Groote Schuur Hospital Trauma Centre from January 1996 to...

  • Closed-Suction Drain Placement at Laparotomy in Isolated Solid Organ Injury Is Not Associated with Decreased Risk of Deep Surgical Site Infection. Mohseni, Shahin; Talving, Peep; Kobayashi, Leslie; Kim, Dennis; Inaba, Kenji; Lam, Lydia; Chan, Linda S.; Coimbra, Raul; Demetriades, Demetrios // American Surgeon;Oct2012, Vol. 78 Issue 10, p1187 

    The purpose of this study was to investigate the role of intra-abdominal closed-suction drainage after emergent trauma laparotomy for isolated solid organ injuries (iSOI) and to determine its association with deep surgical site infections (DSSI). All patients subjected to trauma laparotomy...

  • What is the optimal observation time for a penetrating wound to the flank? Macleod, Jana; Freiberger, Doug; Lewis, Fran; Feliciano, David // American Surgeon;Jan2007, Vol. 73 Issue 1, p25 

    Options for a hemodynamically stable patient with a penetrating wound to the flank or back but no peritonitis, includes serial physical examinations versus a triple-contrast CT scan. There is, however, little consensus on the minimum time for serial examinations to exclude an injury that...

  • Surgical Complications and Causes of Death in Trauma Patients That Require Temporary Abdominal Closure. Montalvo, José A.; Acosta, José A.; Rodríguez, Pablo; Alejandro, Kathia; Sárraga, Andrés // American Surgeon;Mar2005, Vol. 71 Issue 3, p219 

    Temporary abdominal closure (TAC) has increasingly been employed in the management of severely injured patients to avoid abdominal compartment syndrome (ACS) and as part of damage control surgery (DCS). Although the use of TAC has received great interest, few data exist describing the morbidity...

  • Hyperacute Abdominal Compartment Syndrome: An Unrecognized Complication of Massive Intraoperative Resuscitation for Extra-abdominal Injuries. Rodas, Edgar B.; Malhotra, Ajai K.; Chhitwal, Reena; Aboutanos, Michel B.; Duane, Therese M.; Ivatury, Rao R. // American Surgeon;Nov/2005, Vol. 71 Issue 11, p977 

    Primary and secondary abdominal compartment syndrome (ACS) are well-recognized entities after trauma. The current study describes a "hyperacute" form of secondary ACS (HACS) that develops intraoperativety while repair of extra-abdominal injuries is being carried out simultaneous with massive...

  • A XXXII-A REUNIUNE A CHIRURGILOR DIN MOLDOVA "IACOMI -RÄ‚ZEÅžU.". Târcoveanu, E.; Koszeghi, I. // Jurnalul de Chirurgie;2010, Vol. 6 Issue 4, p571 

    No abstract available.

  • A Prospective Look at the Current State of Open Abdomens. TEIXEIRA, PEDRO G. R.; SALIM, ALI; INABA, KENJI; BROWN, CARLOS; BROWDER, TIMOTHY; MARGULIES, DANIEL; DEMETRIADES, DEMETRIOS // American Surgeon;Oct2008, Vol. 74 Issue 10, p891 

    The present study examines the current management, closure rate, and complications of open abdomens in trauma patients admitted to an Academic Level I trauma center between May 2004 and April 2007. Variables examined include mechanism, injuries, use of antibiotics and paralytics, type of...

  • New Brunswick overhauls trauma services. Casey, Quentin // CMAJ: Canadian Medical Association Journal;4/20/2010, Vol. 182 Issue 7, pE279 

    The article offers information on the need for improvement in trauma care centers in New Brunswick. It mentions about the overhauling of the urban hospitals as they denied trauma treatment to patients who were transfered from rural areas. It discusses about the "New Brunswick Trauma System Final...

  • Focused assessment with sonography in trauma (FAST): should its role be reconsidered?  // Postgraduate Medical Journal;May2010, Vol. 86 Issue 1015, p285 

    Focused assessment with sonography in trauma (FAST) is a limited ultrasound scan performed in the emergency department to assess patients admitted with blunt abdominal trauma (BAT). It is normally undertaken by emergency physicians in order to identify the presence of free fluid, which may...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics