منابع مشابه
Non-operative management of splenic trauma
The risk of overwhelming postsplenectomy infection (OPSI) prompted the evolution toward preservation of the injured spleen. Nonoperative management (NOM) of blunt injury to the spleen in adults has become the standard of care in hemodynamically stable patients. This modality of treatment began in the 1970's in paediatric patients. It is highly successful with overall failures rates from 2% to 3...
متن کاملDelayed complications of nonoperative management of blunt adult splenic trauma.
OBJECTIVE To determine the incidence and type of delayed complications from nonoperative management of adult splenic injury. DESIGN Retrospective medical record review. SETTING University teaching hospital, level I trauma center. PATIENTS Two hundred eighty patients were admitted to the adult trauma service with blunt splenic injury during a 4-year period. Men constituted 66% of the popul...
متن کاملWestern Trauma Association (WTA) critical decisions in trauma: management of adult blunt splenic trauma.
This is a position article from members of the Western Trauma Association (WTA). Because there are no prospective randomized trials, the algorithm (Fig. 1) is based on the expert opinion of WTA members and published observational studies. We recognize that variability in decision making will continue. We hope this management algorithm will encourage institutions to develop local protocols based...
متن کاملSelective nonoperative management of high grade splenic trauma.
The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of the 2003 Eastern Association for the Surgery of Trauma (EAST) practice m...
متن کاملEvaluation and Management of Splenic Injury in Blunt Trauma Abdomen
The spleen is an important organ in the body’s immune system. It is the most frequently injured organ in blunt abdominal trauma. Over the past several decades, diagnosis and management of splenic trauma has been evolved. Focused assessment with sonography for trauma (FAST) examination has replaced diagnostic peritoneal lavage as diagnostic modality. In our study we have focused to manage patien...
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ژورنال
عنوان ژورنال: Mayo Clinic Proceedings
سال: 1986
ISSN: 0025-6196
DOI: 10.1016/s0025-6196(12)64830-7