ReviewWorld journal of emergency surgery : WJES2017
Splenic trauma: WSES classification and guidelines for adult and pediatric patients.
Registry-linked trialAbstract readReview
In one paragraph
Review in World journal of emergency surgery : WJES, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05727956 (Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies), which is not on this map. Cited by 176 papers, 6 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
176citing papers in PubMed, 6 pooled it
–field-weighted citation impact
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series
Who cites it
176 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Endovascular management of haemorrhage and vascular lesions in patients with multiple and/or severe injuries: a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Acute cholecystitis management in high-risk, critically ill, and unfit-for-surgery patients: the Italian Society of Emergency Surgery and Trauma (SICUT) guidelines.Updates in surgery · 2024Guideline
- Splenic artery embolisation for splenic injury during colonoscopy: A systematic review.United European gastroenterology journal · 2024Pooled it
- Nonoperative management with angioembolization for blunt abdominal solid organ trauma in hemodynamically unstable patients: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- Post-traumatic Splenic Injury Outcomes for Nonoperative and Operative Management: A Systematic Review.World journal of surgery · 2021Pooled it
- Grade III blunt splenic injury without contrast extravasation - World Society of Emergency Surgery Nijmegen consensus practice.World journal of emergency surgery : WJES · 2020Guideline
- Trauma Surgeons' Impactful Last Half Century.World journal of surgery · 2026Review
- Safety and efficacy of Glubran-2® endovascular embolization in acute bleeding patients with coagulopathies: a multicenter experience.La Radiologia medica · 2026Article
- Time to Splenic Embolisation in Trauma Patients Arriving at a Major Trauma Centre In-Hours or Out-of-Hours: A UK Multicentre Study.Cardiovascular and interventional radiology · 2026Article
- Time to Splenic Embolisation in Trauma Patients Arriving at a Major Trauma Centre In-Hours or Out-of-Hours: A UK Multicentre Study.Cardiovascular and interventional radiology · 2026Article
- Treat the patient, not the grade of injury: modern management of solid organ trauma in children.BMC surgery · 2026Article
- The Roadmap of the Spleen: A Meta-Analysis of Morphometric and Vascular Anatomy.Health science reports · 2026Review
- CT-Visible Venous Fat Embolus Associated With a Femoral Shaft Fracture in a Polytrauma Patient: A Case Report.Cureus · 2026Article
- Are Drains After Trauma Splenectomy Associated with Organ Space Surgical Site Infections?Surgical infections · 2026Article
- Traumatic Splenic Artery Pseudoaneurysm Managed With Percutaneous Histoacryl (N-butyl-2-cyanoacrylate) Embolization: An Alternative to the Conventional Transcatheter Approach.The American journal of case reports · 2026Article
- Predicting splenic artery embolization outcomes in blunt trauma: results from a multicentre retrospective observational study.La Radiologia medica · 2026Observational
- Delayed Spleen Rupture After Trauma.Cureus · 2026Article
- Severe Splenic Injuries in Patients With Multiple Trauma.JAMA surgery · 2026Article
- Impact of splenectomy on fracture risk via the bone-immune axis: A nationwide Korean cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Outcomes following non-operative management for severe liver trauma: a UK multicentre observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
116 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
68 authors.
Federico CoccoliniGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Giulia MontoriGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Fausto CatenaEmergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.
Yoram KlugerDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Walter BifflAcute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.
Ernest E MooreTrauma Surgery, Denver Health Medical Center, Denver, CO USA.
Viktor RevaGeneral and Emergency Surgery, Sergei Kirov Military Academy, Saint Petersburg, Russia.
Camilla BingGeneral and Emergency Surgery Department, Empoli Hospital, Empoli, Italy.
Miklosh BalaGeneral and Emergency Surgery, Hadassah Medical Center, Jerusalem, Israel.
Paola FugazzolaGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Hany BahouthDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Ingo MarziKlinik für Unfall-, Hand- und Wiederherstellungschirurgie Universitätsklinikum Goethe-Universität Frankfurt, Frankfurt, Germany.
George VelmahosTrauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA.
Rao IvaturyVirginia Commonwealth University, Richmond, VA USA.
Kjetil SoreideDepartment of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.
Tal HorerDepartment of Cardiothoracic and Vascular Surgery, Örebro University Hospital and Örebro University, Orebro, Sweden.
Richard Ten BroekDepartment of Surgery, Radboud University Nijmegen Medical Center, Nijmegen, Netherlands.
Bruno M PereiraTrauma/Acute Care Surgery and Surgical Critical Care, University of Campinas, Campinas, Brazil.
Gustavo P FragaTrauma/Acute Care Surgery and Surgical Critical Care, University of Campinas, Campinas, Brazil.
Kenji InabaDivision of Trauma and Critical Care, LAC+USC Medical Center, Los Angeles, CA USA.
Joseph KashukDepartment of Surgery, Assia Medical Group, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
Neil ParryGeneral and Trauma Surgery Department, London Health Sciences Centre, Victoria Hospital, London, ON Canada.
Peter T MasiakosPediatric Trauma Service, Massachusetts General Hospital, Boston, MA USA.
Konstantinos S MylonasPediatric Trauma Service, Massachusetts General Hospital, Boston, MA USA.
Andrew KirkpatrickGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB Canada.
Fikri Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Carlos Augusto GomesUniversidade Federal de Juiz de Fora, Juiz de Fora, Brazil.
Simone Vasilij BenattiInfectivolgy Department, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Noel NaidooDepartment of Surgery, University of KwaZulu-Natal, Durban, South Africa.
Francesco SalvettiGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Stefano MaccatrozzoGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Vanni AgnolettiAnesthesia Department, Bufalini Hospital, Cesena, Italy.
Emiliano GamberiniAnesthesia Department, Bufalini Hospital, Cesena, Italy.
Leonardo SolainiGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Antonio CostanzoGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Andrea CelottiGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Matteo TomasoniGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Vladimir KhokhaGeneral Surgery Department, Mozir City Hospital, Mozir, Belarus.
Catherine ArvieuxClin. Univ. de Chirurgie Digestive et de l'Urgence, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes, Grenoble, France.
Lena NapolitanoTrauma and Surgical Critical Care, University of Michigan Health System, East Medical Center Drive, Ann Arbor, MI USA.
Lauri HandolinTrauma Unit, Helsinki University Hospital, Helsinki, Finland.
Michele PisanoGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Stefano MagnoneGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
David A SpainDepartment of Surgery, Stanford University, Stanford, CA USA.
Marc de MoyaTrauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA.
Kimberly A DavisGeneral Surgery, Trauma, and Surgical Critical Care, Yale-New Haven Hospital, New Haven, CT USA.
Nicola De AngelisHopital Heri Mondor, Paris, France.
Ari LeppaniemiGeneral Surgery Department, Mehilati Hospital, Helsinki, Finland.
Paula FerradaTrauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA.
Rifat LatifiGeneral Surgery Department, Westchester Medical Center, Westchester, NY USA.
David Costa NavarroColorectal Surgery Unit, Trauma Care Committee, Alicante General University Hospital, Alicante, Spain.
Yashuiro OtomoTrauma and Acute Critical Care Center, Tokyo Medical and Dental University, Tokyo, Japan.
Raul CoimbraDepartment of Surgery, UC San Diego Health System, San Diego, USA.
Ronald V MaierDepartment of Surgery, University of Washington, Seattle, WA USA.
Frederick MooreDepartment of Surgery, Gainesville, FL USA.
Sandro RizoliTrauma and Acute Care Service, St Michael's Hospital, Toronto, ON Canada.
Boris SakakushevGeneral Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria.
Joseph M GalanteDivision of Trauma and Acute Care Surgery, University of California, Davis Medical Center, Davis, CA USA.
Osvaldo ChiaraTrauma Team, Ospedale Niguarda, Milan, Italy.
Stefania CimbanassiTrauma Team, Ospedale Niguarda, Milan, Italy.
Alain Chichom MefireDepartment of Surgery and Obstetric and Gynecology, University of Buea, Buea, Cameroon.
Dieter WeberDepartment of General Surgery, Royal Perth Hospital, Perth, Australia.
Marco CeresoliGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Andrew B PeitzmanSurgery Department, University of Pittsburgh, Pittsburgh, Pensylvania USA.
Liban WehlieGeneral Surgery Department, Ayaan Hospital, Mogadisho, Somalia.
Massimo SartelliGeneral and Emergency Surgery, Macerata Hospital, Macerata, Italy.
Salomone Di SaverioGeneral, Emergency and Trauma Surgery Department, Maggiore Hospital, Bologna, Italy.
Luca AnsaloniGeneral, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
Funding
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8MAbstract
Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.
Indexed as
Guidelines as TopicAbdominal InjuriesAdultConservative TreatmentHemodynamicsHumansSpleenWounds and InjuriesAdultClassificationConservativeEmbolizationGuidelinesNon-operativePediatricSpleenSurgeryTrauma
Identifiers
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Read underepoch 390
Registered trials
NCT05727956ClinicalTrials.gov
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.