Changing patterns in the management of splenic trauma: The impact of nonoperative management

Annals of Surgery

Volumn 227, Issue 5, 1998, Pages 708-719

  Pachter, H L ^a,b   Guth, A A ^a   Hofstetter, S R ^a   Spencer, F C ^a  

^a BELLEVUE HOSPITAL CENTER   (United States)

^b NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHM; BLOOD TRANSFUSION; BLUNT TRAUMA; COMPUTER ASSISTED TOMOGRAPHY; CONFERENCE PAPER; GUNSHOT INJURY; HEMODYNAMICS; HUMAN; MAJOR CLINICAL STUDY; PATIENT CARE; PENETRATING TRAUMA; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RISK FACTOR; SEPSIS; SPLEEN INJURY; SPLENECTOMY; STAB WOUND; SURGICAL MORTALITY; SURGICAL TECHNIQUE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BLOOD TRANSFUSION; FEMALE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SEPSIS; SPLEEN; SPLENECTOMY; WOUNDS, NONPENETRATING;

EID: 0031741428     PISSN: 00034932     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000658-199805000-00011     Document Type: Conference Paper

References (38)

1. Pachter HL, Spencer FC, Hofstetter SR, et al. Experience with selective operative and nonoperative treatment of splenic injuries in 193 patients. Ann Surg 1990; 211:583-591.
2. Feliciano DV, Spjut-Patrinely V, Burch JM, et al. Splenorrhaphy: the alternative. Ann Surg 1990; 211:569-582.
3. Malangoni MA, Cue JI, Fallal ME, et al. Evaluation of splenic injury by computed tomography and its impact on treatment. Ann Surg 1990; 211:592-599.
4. DiCataldo A, Duleo S, LiDestri G, et al. Splenic trauma and over-whelming postsplenectomy infection. Br J Surg 1987; 74:343-345.
5. Cullingford GL, Watkins DN, Watts ADJ, Mallon DF. Severe late postsplenectomy infection. Br J Surg 1991; 78:716-721.
6. Lynch AM, Kapila R. Overwhelming postsplenectomy infection. Infect Dis Clin North Am 1996; 10:693-707.
7. Moore EE, Cogbill TH, Jurkovitch GJ, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995; 38:323-326.
8. Bannon MP. Operative splenic trauma management. Trauma Q 1996; 12:315-338.
9. Moore FA, Moore EE, Moore GE, Millikan JS. Risk of splenic salvage after trauma. Analysis of 200 adults. Am J Surg 1984; 148:800-805.
10. Pachter HL, Hofstetter SR, Spencer FC. Evolving concepts in splenic surgery - splenorrhaphy versus splenectomy and postsplenectomy drainage: experience in 105 patients. Ann Surg 1981; 194:262-269.
11. Cogbill TH, Moore EE, Jurkovich GJ, et al. Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma 1989; 29:1313-1317.
12. Elmore JR, Clark DE, Isler RJ, Horner WR. Selective nonoperative management of blunt splenic trauma in adults. Arch Surg 1989; 124:581-586.
13. Longo WE, Baker CC, McMillon MA, et al. Nonoperative management of adult splenic trauma. Ann Surg 1989; 210:626-629.
14. Sclafani SJA, Shaftan GW, Scalea TM, et al. Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. J Trauma 1995; 39:818-827.
15. Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15-year experience. Am Surgeon 1997; 63:694-699.
16. Smith JS Jr, Cooney RN, Mucha P Jr. Nonoperative management of the ruptured spleen: a revalidation of criteria. Surgery 1996; 120:745-750.
17. Hunt JP, Lentz CW, Cairns BA, et al. Management and outcome of splenic injury: results of a 5-year statewide population-based study. Am Surg 1996; 62:911-917.
18. Archer LP, Rogers FB, Shackford SR. Selective nonoperative management of liver and spleen injuries in neurologically impaired adult patients. Arch Surg 1996; 131:309-315.
19. Guth AA, Pachter HL, Jacobowitz GR. Rupture of the pathologic spleen: is there a role for nonoperative therapy? J Trauma 1996; 41:214-218.
20. Odom JW, D'Amore TF, Meo MA, et al. Splenectomy for minor trauma in patients with HIV infections. Injury 1991; 22:85-86.
21. Malmaeus J, Akre T, Adami HO, et al. Early postoperative course following elective splenectomy in hematologic diseases: a high complication rate in patients with myeloproliferative disease. Br J Surg 1986; 73:720-723.
22. Johansson T, Bostrom H, Sjodahl R, et al. Splenectomy for hematologic disease. Acta Chir Scand 1990; 156:83-86.
23. Clancy TV, Ramshaw DG, Maxwell JG, et al. Management outcomes in splenic injury: a statewide trauma center review. Ann Surg 1997; 226:17-24.
24. Morrell DG, Chang FC, Helmer SD. Changing trends in the management of splenic injury. Am J Surg 1995; 170:686-690.
25. Garber BG, Yelle JD, Fairfull-Smith R, et al. Management of splenic injuries in a Canadian trauma centre. Can J Surg 1996; 39:474-480.
26. Powell M, Courcoulas A, Gardner M, et al. Management of blunt splenic trauma: significant differences between adults and children. Surgery 1997; 122:654-660.
27. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of non-operative management. J Trauma 1995; 39:507-513.
28. Javolec LM, Boe BS, Wyffels PL. The advantages of early operation with splenorrhaphy versus nonoperative management for the blunt splenic trauma patient. Am Surg 1993; 59:698-704.
29. Bonds SJ, Eichelberger MR, Gotschall CS, et al. Nonoperative management of blunt hepatic and splenic injury in children. Ann Surg 1996; 223:286-289.
30. Godley CD, Warren RL, Sheridan RL, McCabe CJ. Nonoperative management of blunt splenic injury in adults: age over 55 years as powerful indicator of failure. J Am Coll Surg 1996; 183:133-139.
31. Becker CD, Spring P, Glattli A, Schweizer W. Blunt splenic trauma in adults: can CT findings be used to determine the need for surgery? AJR 1994; 162:343-347.
32. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma 1996; 40:31-38.
33. Gavant ML, Schurr M, Flick PA, et al. Predicting clinical outcome of blunt splenic injury: using CT to reveal abnormalities of splenic vasculature. AJR 1997; 168:207-212.
34. Davis KA, Fabian TC, Croce MA, et al. Improved success in nonoperative management of blunt splenic trauma: embolization of splenic artery pseudo-aneurysm. Presented at the 57th Annual Meeting of the American Association for the Surgery of Trauma, Waikola, Hawaii, Sept. 24-27, 1997.
35. Allins A, Ho T, Nguyen TH, et al. Limited value of routine follow-up CT scans in nonoperative management of blunt liver and splenic injuries. Am Surg 1996; 62:883-886.
36. Lawson DE, Jacobson JA, Spizarny DL, et al. Splenic trauma: value of follow-up CT. Radiology 1995; 194:97-100.
37. Dulchavsky SA, Lucas CE, Ledgerwood AM, Grabow D. Wound healing of the injured spleen with and without splenorrhaphy. J Trauma 1987; 27:1155-1160.
38. Raafat AM, Dulchavsky SA. Splenic wound healing following injury. Trauma Q 1996; 12:305-308.