ReviewRevista do Colegio Brasileiro de Cirurgioes2021
Non-operative management of blunt splenic trauma: evolution, results and controversies.
Review in Revista do Colegio Brasileiro de Cirurgioes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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Who cites it
10 citing papers in PubMed.
- Comparison between operative management versus non-operative management in patients with solid organ blunt abdominal injury in the National Trauma Registry of Iran.Annals of medicine and surgery (2012) · 2026Article
- Case report: traumatic avulsion of the left kidney and spleen with diaphragmatic rupture in a young worker.Annals of medicine and surgery (2012) · 2026Article
- Non-operative management algorithm in a case of grade II pancreatic, grade IV splenic, and renal injury due to blunt abdominal trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Impact of early arterial-phase multidetector CT in blunt spleen injury: a clinical outcomes-oriented study.BMC medical imaging · 2025Article
- Combined traumatic pulmonary and splenic pseudoaneurysms: what would you do?Trauma surgery & acute care open · 2025Article
- Frequency of splenectomy for pediatric splenic injury in Brazil: a retrospective analysis.Lancet regional health. Americas · 2024Article
- Spread and feasibility of non-operative management (NOM) of traumatic splenic injuries in adults: a national survey.Updates in surgery · 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
- Clinical features and direct medical cost of splenic injury in China: a cross-sectional study.BMJ open · 2022Article
- In Solid Organ Injury Patients Requiring Blood Transfusion, Hemostatic Procedures are Associated with Improved Survival Over Observation.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The spleen is one of the most frequently affected organs in blunt abdominal trauma. Since Upadhyaya, the treatment of splenic trauma has undergone important changes. Currently, the consensus is that every splenic trauma presenting with hemodynamic stability should be initially treated nonoperatively, provided that the hospital has adequate structure and the patient does not present other conditions that indicate abdominal exploration. However, several topics regarding the nonoperative management (NOM) of splenic trauma are still controversial. Splenic angioembolization is a very useful tool for NOM, but there is no consensus on its precise indications. There is no definition in the literature as to how NOM should be conducted, neither about the periodicity of hematimetric control, the transfusion threshold that defines NOM failure, when to start venous thromboembolism prophylaxis, the need for control imaging, the duration of bed rest, and when it is safe to discharge the patient. The aim of this review is to make a critical analysis of the most recent literature on this topic, exposing the state of the art in the NOM of splenic trauma.
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