Analysis of the need for surgery for different anatomical locations of splenic injury and radiologic intervention

2020 ◽  
Vol 33 (4) ◽  
pp. 516-521
Author(s):  
Jonghwan Moon ◽  
Kyoungwon Jung ◽  
Donghwan Choi ◽  
Byung H. Kang ◽  
Yo Huh ◽  
...  
Keyword(s):  
Splenic Injury ◽  
Radiologic Intervention

The reevaluation of plain roentgenological study in isolated splenic injury

1986 ◽  
Vol 22 (5) ◽  
pp. 809
Author(s):  
S I Kang ◽  
S S Ko ◽  
K J Kim ◽  
J H Oh ◽  
Y C Kim
Keyword(s):  
Splenic Injury

PO-0606 Radiologic Intervention Of Portal Hypertension In An Infant With Down Syndrome Due To Diffuse Arterioportal Fistulae

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A449.2-A450
Author(s):  
M Uysal Yazici ◽  
B Cil Barbaros ◽  
B Bayrakci Benan ◽  
BK Baysoy Gokhan ◽  
GF Gurekan Figen
Keyword(s):  
Down Syndrome ◽  
Portal Hypertension ◽  
Radiologic Intervention

scholarly journals Nonoperative management of splenic injury in closely monitored patients with reduced consciousness is safe and feasible

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Michel Teuben ◽  
Roy Spijkerman ◽  
Taco Blokhuis ◽  
Roman Pfeifer ◽  
Henrik Teuber ◽  
...  
Keyword(s):  
Mental Status ◽  
Injury Severity ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Splenic Trauma ◽  
Blunt Splenic Injury ◽  
Icu Stay ◽  
Severity Scores ◽  
Gcs Score ◽  
The Impact

Abstract Background Treatment of blunt splenic injury has changed over the past decades. Nonoperative management (NOM) is the treatment of choice. Adequate patient selection is a prerequisite for successful NOM. Impaired mental status is considered as a relative contra indication for NOM. However, the impact of altered consciousness in well-equipped trauma institutes is unclear. We hypothesized that impaired mental status does not affect outcome in patients with splenic trauma. Methods Our prospectively composed trauma database was used and adult patients with blunt splenic injury were included during a 14-year time period. Treatment guidelines remained unaltered over time. Patients were grouped based on the presence (Group GCS: < 14) or absence (Group GCS: 14–15) of impaired mental status. Outcome was compared. Results A total of 161 patients were included, of whom 82 were selected for NOM. 36% of patients had a GCS-score < 14 (N = 20). The median GCS-score in patients with reduced consciousness was 9 (range 6–12). Groups were comparable except for significantly higher injury severity scores in the impaired mental status group (19 vs. 17, p = 0.007). Length of stay (28 vs. 9 days, p < 0.001) and ICU-stay (8 vs. 0 days, p = 0.005) were longer in patients with decreased GCS-scores. Failure of NOM, total splenectomy rates, complications and mortality did not differ between both study groups. Conclusion This study shows that NOM for blunt splenic trauma is a viable treatment modality in well-equipped institutions, regardless of the patients mental status. However, the presence of neurologic impairment is associated with prolonged ICU-stay and hospitalization. We recommend, in institutions with adequate monitoring facilities, to attempt nonoperative management for blunt splenic injury, in all hemodynamically stable patients without hollow organ injuries, also in the case of reduced consciousness.

scholarly journals Splenic Artery Embolization for Patients with High-Grade Splenic Trauma: Indications, Techniques, and Clinical Outcomes

2021 ◽  
Vol 38 (01) ◽  
pp. 105-112
Author(s):  
Majd Habash ◽  
Darrel Ceballos ◽  
Andrew J. Gunn
Keyword(s):  
Clinical Outcomes ◽  
Splenic Artery ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Operative Management ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
High Grade ◽  
Artery Embolization ◽  
Splenic Artery Embolization

AbstractThe spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Hemodynamically stable patients selected for nonoperative management have improved clinical outcomes when splenic artery embolization is utilized. The purpose of this article is to review the indications, technical aspects, and clinical outcomes of splenic artery embolization for patients with high-grade splenic injuries.

Management of Pediatric Splenic Injury: We Agree, More or Less

2012 ◽  
Vol 147 (5) ◽  
Author(s):  
Jeremy T. Aidlen ◽  
Francois I. Luks
Keyword(s):  
Splenic Injury

Management of Intraoperative Splenic Injury

2008 ◽  
Vol 10 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Aziz Merchant ◽  
Parag Bhanot ◽  
Stephen R.T. Evans
Keyword(s):  
Splenic Injury

Abstract No. 253 EE: Blunt Splenic Injury: Review of Current Imaging Techniques, Grading Systems, and Endovascular Treatments

2009 ◽  
Vol 20 (2) ◽  
pp. S97
Author(s):  
S. Atluri ◽  
H.M. Richard ◽  
S. Kyere ◽  
J.J. Chen ◽  
K. Shanmuganathan ◽  
...  
Keyword(s):  
Splenic Injury ◽  
Imaging Techniques ◽  
Blunt Splenic Injury ◽  
Grading Systems

Splenic injury: A 5-year update with improved results and changing criteria for conservative management

1989 ◽  
Vol 24 (5) ◽  
pp. 428-431 ◽  
Author(s):  
Richard H. Pearl ◽  
David E. Wesson ◽  
Laura J. Spence ◽  
Robert M. Filler ◽  
Sigmund H. Ein ◽  
...  
Keyword(s):  
Conservative Management ◽  
Splenic Injury
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