Evidence map›Paper›PMID 33196920›Full record

ReviewSurgery today2021

Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives.

Luigi Romeo, Francesco Bagolini, Silvia Ferro, Matteo Chiozza, Serafino Marino, Giuseppe Resta, Gabriele Anania

Open access · hybridAbstract readReview
In one paragraph

Review in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Angioembolization in patients with blunt splenic trauma in Germany -guidelines vs. Reality a retrospective registry-based cohort study of the TraumaRegister DGU®.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Luigi RomeoDepartment of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy. luigi.romeo@live.com.ORCID http://orcid.org/0000-0001-8313-1951
Francesco BagoliniDepartment of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Silvia FerroDepartment of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Matteo ChiozzaDepartment of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
Serafino MarinoDepartment of Surgery, Surgery 1 Unit, Sant'Anna University Hospital, Via Aldo Moro 8, 44124, Ferrara, Italy.
Giuseppe RestaDepartment of Surgery, Surgery 1 Unit, Sant'Anna University Hospital, Via Aldo Moro 8, 44124, Ferrara, Italy.
Gabriele AnaniaDepartment of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.
University of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The spleen is one of the organs most commonly injured by blunt abdominal trauma. It plays an important role in immune response to infections, especially those sustained by encapsulated bacteria. Nonoperative management (NOM), comprising clinical and radiological observation with or without angioembolization, is the treatment of choice for traumatic splenic injury in patients who are hemodynamically stable. However, this strategy carries a risk of failure, especially for high-grade injuries. No clear predictors of failure have been identified, but minimally invasive surgery for splenic injury is gaining popularity. Laparoscopic surgery has been proposed as an alternative to open surgery for hemodynamically stable patients who require surgery, such as after failed NOM. We reviewed research articles on laparoscopic surgery for hemodynamically stable patients with splenic trauma to explore the current knowledge about this topic. After presenting an overview of the treatments for splenic trauma and the immunological function of the spleen, we try to identify the future indications for laparoscopic surgery in the era of NOM.

Indexed as

Abdominal InjuriesConservative TreatmentEmbolization, TherapeuticFemaleHemodynamicsHumansLaparoscopyMaleOrgan Sparing TreatmentsSpleenSplenectomyTrauma Severity IndicesTreatment FailureTreatment OutcomeWounds, NonpenetratingAbdominal traumaLaparoscopic splenectomySplenic injurySplenic trauma

Identifiers

PMID33196920
PMCPMC8215029
OpenAlexW3103943926

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.