ArticleJournal of emergencies, trauma, and shock
Changing Aspects in the Management of Splenic Injury Patients: Experience of 129 Isolated Splenic Injury Patients at Level 1 Trauma Center from India.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Post-traumatic Splenic Injury Outcomes for Nonoperative and Operative Management: A Systematic Review.World journal of surgery · 2021Pooled it
- A Clinical Review and Experience of Splenic Trauma in North India: A Retrospective Observational Study.Cureus · 2024Article
- Epidemiological profile of patients undergoing non-operative management of solid organ injury and associated factors with mortality.Revista do Colegio Brasileiro de Cirurgioes · 2024Article
- Survival Secrets: Unmasking the Factors Predicting Failure of Non-operative Management (NOM) in Splenic Injuries.Cureus · 2023Article
- Predicting the Outcome of Non-operative Management of Splenic Trauma in South Africa.World journal of surgery · 2020Article
- Management of a delayed, post-traumatic rupture of splenic artery pseudoaneurysm in a patient with life threatening co-morbidities: A treatment challenge.International journal of surgery case reports · 2020Article
- Macro and microscopic comparison of the upper pole of the spleen with the lower pole in partial splenectomy.Acta cirurgica brasileira · 2020Article
- Laparoscopic splenectomy after trauma: Who, when and how. A systematic review.Journal of minimal access surgeryReview
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe spleen is most the commonly injured solid organ in abdominal trauma. Operative management (OM) has been challenged by several studies favoring successful non-OM (NOM) aided by modern era interventional radiology. The results of these studies are confounded by associated injuries impacting outcome. The aim of this study is to compare NOM and OM for isolated splenic injury in an Indian Level 1 Trauma Center. MATERIALS AND
methodsThis is a retrospective analysis of prospective database.
resultsA total of 1496 patients were admitted with abdominal injuries. One hundred and twenty-nine patients admitted with diagnosis of isolated splenic injury from January 2009 to December 2016 were included in the study. RTIs, followed by falls from height, were the most common mechanisms of injury. Ninety-two (71.3%) patients with isolated splenic trauma were successfully managed nonoperatively. Thirty-seven (28.7%) required surgery, of which three were due to the failure of NOM. Three patients in the nonoperative group underwent splenectomy later, giving an overall success rate of 96.8% for NOM. Patients with isolated splenic trauma requiring OM had higher grade splenic injury (Grade 4/5), higher blood transfusion requirements (
conclusionAlthough NOM is successful in most patients with blunt isolated splenic injuries, careful selection is the most important factor dictating the success of NOM.
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