Postępowanie w urazach śledziony u dzieci

Wolak, Przemysław; Skiba, Renata
March 2012
Polish Surgery / Chirurgia Polska;2012, Vol. 14 Issue 1/2, p60
Academic Journal
The past two decades have witnessed a major shift in the management of blunt injury to the spleen, both in children and adults. Although prior to that time splenectomy used to be the traditional treatment of choice in such cases, nowadays patients who are hemodynamically stable can be successfully managed with close monitoring and non-operative treatment. Surgery has become limited to patients who are hemodynamically unstable despite intensive fluid resuscitation. Even in a group of patients treated operatively splenectomy has been replaced in many cases with spleen repair and the placement of a Dacron web. Packing and secondary laparotomy should be considered in cases of uncontrollable abdominal bleeding and after the hemodynamic status of a patient has been corrected. Splenectomy has become limited only to spleen injury grade V according to AAST category.


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