SPLENECTOMY FOR TRAUMA
نویسندگان
چکیده
منابع مشابه
Laparoscopic Splenectomy Following Embolization for Blunt Trauma
BACKGROUND Grade III through V splenic injuries as defined by the American Association for the Surgery of Trauma (AAST) grading scale are associated with hemorrhage and nonoperative failure. Embolization has been reported to reduce splenic bleeding in 50% to 75% of patients with a high-grade injury. However, splenectomy following embolization may be necessary in patients who continue to bleed o...
متن کاملLaparoscopic Splenectomy in Blunt Trauma
We describe the first reported use of laparoscopic splenectomy as initial treatment in high-grade blunt splenic trauma. A 21-year-old man sustained a blow to the left flank from a large construction pipe and was transferred to our hospital with a grade V splenic laceration and a grade II left peri-renal hematoma with hematuria. He was hemodynamically stable. He underwent a laparoscopic splenect...
متن کاملLaparoscopic Splenectomy in Hemodynamically Stable Blunt Trauma
BACKGROUND AND OBJECTIVES No criteria define indications for laparoscopic splenectomy in trauma. This investigation compared characteristics of trauma patients and outcomes between laparoscopic and open splenectomies. METHODS Patients were identified retrospectively by using ICD-9 codes. Included patients were 18 or older, with a blunt splenic injury from January 1, 2011, through December 31,...
متن کاملBenchmarks for splenectomy in pediatric trauma: how are we doing?
BACKGROUND/PURPOSE Following publication of American Pediatric Surgical Association (APSA) hospital benchmarks for the operative management of blunt splenic trauma in specialized centers, it was found that most hospitals exceeded these benchmarks. We sought to determine if benchmarks were being met a decade later and to identify factors associated with splenectomy in injured children. METHODS...
متن کاملDeterminants of splenectomy in splenic injuries following blunt abdominal trauma.
INTRODUCTION The management of splenic injuries has shifted from splenectomy to splenic preservation owing to the risk of overwhelming post-splenectomy infection (OPSI). This study aimed to identify the factors that determine splenectomy in patients with isolated splenic injuries, with a view to increasing the rate of splenic preservation. PATIENTS AND METHODS Files of 55 patients managed for...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1928
ISSN: 0003-4932
DOI: 10.1097/00000658-192809000-00009