Computed tomographic grading is useful in the selection of patients for nonoperative management of blunt injury to the spleen

American Surgeon

Volumn 64, Issue 8, 1998, Pages 743-749

  Starnes, Sandra ^a   Klein, Peter ^a   Magagna, Louis ^a   Pomerantz, Richard ^a  

^a ST JOSEPH MERCY HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLUNT TRAUMA; CANCER GRADING; COMPUTER ASSISTED TOMOGRAPHY; DEMOGRAPHY; DISEASE SEVERITY; HOSPITALIZATION; HUMAN; LAPAROTOMY; MAJOR CLINICAL STUDY; RELIABILITY; SCORING SYSTEM; SPLEEN INJURY; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT SELECTION; SPLEEN; SPLENECTOMY; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 0031926843     PISSN: 00031348     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (30)

1. Moore EE, Shackford SR, Pachter HL, et al. Organ injury scaling: Spleen, liver, kidney. J Trauma 1989;29:1664-6.
2. King H, Shumacker H. Splenic studies: Susceptibility to infection after splenectomy performed in infancy. Ann Surg 1952;136:239-42.
3. Smith C, Erlandson M, Schulman I, et al. Hazard of severe infections in splenectomized infants and children. Am J Med 1957;22:390-404.
4. Upadhyaya P, Simpson JS. Splenic trauma in children. Surg Gynecol Obstet 1968;126:781-9.
5. Feliciano D, Moore E, Mattox K. Trauma. Stamford, CT: Appleton & Lange, 1996, pp, 545-50.
6. Jalovec L, Boe B, Wyffels P. The advantages of early operation with splenorrhaphy versus nonoperative management for the blunt splenic trauma patient. Am Surg 1993;59:698-705.
7. Villalba M, Howells GA, Lucas RS, et al. Nonoperative management of the adult ruptured spleen. Arch Surg 1990;125:836-8.
8. Molin M, Shackford S. The management of splenic trauma in a trauma system. Arch Surg 1990;125:840-2.
9. Pachter H, Spencer FC, Hofstetter SR, et al. Experience with selective operative and nonoperative treatment of splenic injuries in 193 patients. Ann Surg 1990;211:583-9.
10. Malangoni M, et al. Evaluation of splenic injury by computed tomography and its impact on treatment. Ann Surg 1990;211:592-7.
11. Rappaprot W, McIntyre KE, Carmona R, et al. The management of splenic trauma in the adult patient with blunt multiple injuries. Surg Gynecol Obstet 1990;170:204-8.
12. Longo W, Baker CC, McMillen MA, et al. Nonoperative management of adult blunt splenic trauma: Criteria for successful outcome. Ann Surg 1989;210:626-9.
13. Cogbill T, Moore EE, Jurkovich GS, et al. Nonoperative management of blunt splenic trauma: A multicenter experience. J Trauma 1989;29:1312-7.
14. Elmore J, Clark DE, Isler RJ, et al. Selective nonoperative management of blunt splenic trauma in adults. Arch Surg 1989;124:581-6.
15. Resciniti A, Fink M, Raptopoulos V, et al. Nonoperative treatment of adult splenic trauma: development of a computed tomographic scoring system that detects appropriate candidates for expectant management. J Trauma 1988;128:828-31.
16. Nallathambi M, Ivatury RR, Wepnir I, et al. Nonoperative management versus early operation for blunt splenic trauma in adults. Surg Gynecol Obstet 1988;166:252-8.
17. Mucha P. Changing attitudes toward the management of blunt splenic trauma in adults. Mayo Clin Proc 1986;61:472-7.
18. Mahon P, Sutton J. Nonoperative management of adult splenic injury due to blunt trauma: A warning. Am J Surg 1985;149:716-21.
19. Smith JS, Cooney RN, Mucha P, et al. Nonoperative management of the ruptured spleen: A revalidation of criteria. Surgery 1996;120:745-51.
20. Williams M, Young DH, Schiller WR, et al. Trend toward nonoperative management of splenic injuries. Am J Surg 1990;160:588-92.
21. Mirvis S, Whitley NO, Gens DR, et al. Blunt splenic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology 1989;171:33-9.
22. Scatamacchia S, Raptoloulos V, Fink MP, et al. Splenic trauma in adults: Impact of CT grading on management. Radiology 1989;171:725-9.
23. Buntain W, Gould HR, Maull KI, et al. Predictability of splenic salvage by computed tomography. J Trauma 1988;28:24-31.
24. Tom W, Howells GA, Bree RL, et al. A nonoperative approach to the adult ruptured spleen sustained from blunt trauma. Am Surg 1985;51:367-71.
25. Malangoni M, Levine AW, Droege EA, et al. Management of injury to the spleen in adults. Ann Surg 1984;200:702-5.
26. Zucker K, Browns K, Rossman D, et al. Nonoperative management of splenic trauma: Conservative or radical treatment? Arch Surg 1984;119:400-3.
27. Morgenstern L, Uyeda R. Nonoperative management of injuries of the spleen in adults. Surg Gynecol Obstet 1983;157:513-7.
28. Smith JS, Wengrovitz MA, DeLong BS, et al. Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen. J Trauma 1992;33:363-8.
29. Feliciano P, Mullins RS, Trunkey DD, et al. A decision analysis of traumatic splenic injuries. J Trauma 1992;33:340-8.
30. Shackford S, Molin M. Management of splenic injuries. Surg Clin N Am 1990;70:595-620.