Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination
نویسندگان
چکیده
منابع مشابه
Laparoscopic Splenectomy in Blunt Trauma
We describe the first reported use of laparoscopic splenectomy as initial treatment in high-grade blunt splenic trauma. A 21-year-old man sustained a blow to the left flank from a large construction pipe and was transferred to our hospital with a grade V splenic laceration and a grade II left peri-renal hematoma with hematuria. He was hemodynamically stable. He underwent a laparoscopic splenect...
متن کاملDeterminants of splenectomy in splenic injuries following blunt abdominal trauma.
INTRODUCTION The management of splenic injuries has shifted from splenectomy to splenic preservation owing to the risk of overwhelming post-splenectomy infection (OPSI). This study aimed to identify the factors that determine splenectomy in patients with isolated splenic injuries, with a view to increasing the rate of splenic preservation. PATIENTS AND METHODS Files of 55 patients managed for...
متن کاملLaparoscopic splenectomy in a case of blunt abdominal trauma
Splenic rupture is a frequent consequence of blunt abdominal trauma. Removal of the spleen (splenectomy) or alternative conservative procedures (splenorrhaphy, partial splenectomy and haemostatic collagen application) are surgical treatment options. Splenectomy was first described in 1910 by Sutherland. Laparoscopic splenectomy was first described in 1991 by Delaitre and Maignien. Since then si...
متن کاملLaparoscopic Splenectomy Following Embolization for Blunt Trauma
BACKGROUND Grade III through V splenic injuries as defined by the American Association for the Surgery of Trauma (AAST) grading scale are associated with hemorrhage and nonoperative failure. Embolization has been reported to reduce splenic bleeding in 50% to 75% of patients with a high-grade injury. However, splenectomy following embolization may be necessary in patients who continue to bleed o...
متن کاملLaparoscopic Splenectomy in Hemodynamically Stable Blunt Trauma
BACKGROUND AND OBJECTIVES No criteria define indications for laparoscopic splenectomy in trauma. This investigation compared characteristics of trauma patients and outcomes between laparoscopic and open splenectomies. METHODS Patients were identified retrospectively by using ICD-9 codes. Included patients were 18 or older, with a blunt splenic injury from January 1, 2011, through December 31,...
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ژورنال
عنوان ژورنال: Military Medicine
سال: 2018
ISSN: 0026-4075,1930-613X
DOI: 10.1093/milmed/usy095