Document Detail


The management of splenic injury.
MedLine Citation:
PMID:  7086916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Increased concern over the potential immunologic consequences of splenectomy has prompted surgeons to attempt salvage of traumatized spleens. We report a retrospective study of 172 consecutive patients with documented splenic injury treated over a 2-year period: 107 patients underwent splenectomy; 65 were managed without total splenectomy; 32 were not explored. The overall mortality rate was 27%; the overall complications were 30%, including a 13% incidence of post-splenectomy subphrenic abscess. The incidence of infectious complications after splenectomy was 36%, while the incidence in nonsplenectomized patients was 9%. The Injury Severity Scores (ISS) in the two groups were significantly different (p less than or equal to 0.05). When the group whose spleens were salvaged was compared to an equivalent group matched for ISS, age, and sex, there was no significant difference in sepsis rates (23% vs. 10.7%; 0.10 greater than or equal to p greater than or equal to 0.05). Survival in those with postinjury infectious complications was significantly improved in patients with a remaining spleen (p less than or equal to 0.01). Abdominal computerized tomography was used successfully as a method of following injured and repaired spleens in order to predict return to full activity.
Authors:
R F Hebeler; R E Ward; P W Miller; Y Ben-Menachem
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  22     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1982 Jun 
Date Detail:
Created Date:  1982-08-14     Completed Date:  1982-08-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  492-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Angiography
Child
Child, Preschool
Female
Humans
Infection / etiology
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Spleen / injuries*,  radiography,  surgery
Splenectomy* / adverse effects
Subphrenic Abscess / etiology
Wounds, Nonpenetrating

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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