Blunt splenic injuries: Dedicated trauma surgeons can achieve a high rate of nonoperative success in patients of all ages

Journal of Trauma - Injury, Infection and Critical Care

Volumn 48, Issue 5, 2000, Pages 801-806

  Myers, John G ^a   Dent, Daniel L ^a   Stewart, Ronald M ^a   Gray, Gina A ^a   Smith, Doug S ^a   Rhodes, Jeff E ^a   Root, H David ^a   Pruitt, Basil A ^a   Strodel, William E ^a  

^a Mays Cancer Center at UT Health San Antonio   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ADOLESCENT; ADULT; AGE; AGED; CHILD; CONFERENCE PAPER; CONSERVATIVE TREATMENT; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRESCHOOL CHILD; PRIORITY JOURNAL; SCHOOL CHILD; SPLEEN INJURY; TREATMENT CONTRAINDICATION; TREATMENT OUTCOME;

EID: 0033947166     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/00005373-200005000-00002     Document Type: Conference Paper

References (29)

1. Rutledge R. The increasing frequency of nonoperative management of patients with liver and spleen injuries. Adv Surgery. 1997;30:385-415.
2. Jeffrey RB, Laing FC, Federle MP, Goodman PC. Computed tomography of splenic trauma. Radiology. 1981; 141:729-732.
3. Federle MP, Crass RA, Jeffrey RB, Trunkey DD. Computed tomography in blunt abdominal trauma. Arch Surg. 1982; 117:645-650.
4. Goldstein AS, Sclafani SJ, Kupferstein NH, et al. The diagnostic superiority of computerized tomography. J Trauma. 1985;25:938-946.
5. Kohn JS, Clark DE, Isler RJ, Pope CF. Is computed tomographic grading of splenic injury useful in the nonsurgical management of blunt trauma? J Trauma. 1994; 36:385-390.
6. 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 Am J Roentgenol. 1994;162:343-347.
7. Sutyak JP, Chiu WC, D'Amelio LF, Amorosa JK, Hammond JS. Computed tomography is inaccurate in estimating the severity of adult splenic injury. J Trauma. 1995;39:514-518.
8. Reuss L, Sivit CJ, Eichelberger MR, Taylor GA, Bond SJ. Blunt hepatic and splenic trauma in children: correlation of a CT injury severity scale with clinical outcome. Pediatr Radiol. 1995;25:321-325.
9. Godley CD, Warren RL, Sheridan RL, McCabe CJ. Nonoperative management of blunt splenic injury in adults: age over 55 years as a powerful indicator for failure. J Am Coll Surg. 1996;183:133-139.
10. Smith JS, Wengrovitz MA, DeLong BS. Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen. J Trauma. 1992;33:363-369.
11. Elmore JR, Clark DE, Isler RJ, Horner WR. Selective nonoperative management of blunt splenic trauma in adults. Arch Surg. 1989;124:581-586.
12. Keller MS, Vane DW. Management of pediatric blunt splenic injury: comparison of pediatric and adult trauma surgeons. J Pediatr Surg. 1994;29:11-18.
13. Pimpl W, Dapunt O, Kaindl H, Thalhamer J. Incidence of septic and thromboembolic-related deaths after splenectomy in adults. Br J Surg. 1989;76:517-521.
14. Francke EL, Neu HC. Postsplenectomy infection. Surg Clin North Am. 1981;61:135-155.
15. Luna GK, Dellinger EP. Nonoperative observation therapy for splenic injuries: a safe nontherapeutic option? Am J Surg. 1987;153:462-468.
16. Fischer RP, Miller-Crotchett P, Reed RL. Gastrointestinal disruption: the hazard of nonoperative management in adults with blunt trauma. J Trauma. 1988;28:1445-1449.
17. Talton DS, Craig MH, Hauser CJ, Poole GV. Major gastroenteric injuries from blunt trauma. Am Surg. 1995; 61:69-73.
18. Ulman I, Avanoglu A, Ozcan C, Demircan M, Ozok G, Erdener A. Gastrointestinal perforations in children: a continuing challenge to nonoperative treatment of blunt abdominal trauma. J Trauma. 1996;41:110-113.
19. Cocanour CS, Moore FA, Ware DN, Marvin RG, Clark JM, Duke JH. Delayed complications of nonoperative management of blunt adult splenic trauma. Arch Surg. 1998; 133:619-624.
20. Nallathambi MV, Ivatury RR, Wapnir I, Rohman M, Stahl WM. Nonoperative management versus early operation for blunt splenic trauma in adults. Surg Gynecol Obstet. 1988; 166:252-258.
21. Mahon PA, Sutton JE. Non-operative management of adult splenic trauma: a warning. Am J Surg. 1985;149:716-721.
22. Esposito TJ, Gamelli RL. Injury to the spleen. In: Feliciano DV, Moore EE, Mattox KL, eds. Trauma. Stamford, Conn: Appleton and Lange; 1996:538.
23. Barone JE, Burns G, Svehlak SA, et al. Management of blunt splenic trauma in patients older than 55 years. Southern Connecticut Regional Trauma Quality Assurance Committee. J Trauma. 1999:46:87-90.
24. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Splenic injury: trends in evaluation and management. J Trauma. 1998;44:283-286.
25. Tepas JJ. Pediatric trauma. In: Feliciano DV, Moore EE, Mattox KL, eds. Trauma. Stamford, Conn: Appleton and Lange; 1996:889.
26. Cogbil TH, Moore EE, Jurkovich GJ, Morris JA, Mucha P Jr, Shackford SR. Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma. 1989; 29:1312-1317.
27. Bond SJ, Eichelberger MR, Gotschall CS, Sivit CJ, Randolph JG. Nonoperative management of blunt hepatic and splenic injury in children. Ann Surg. 1996;223:286-289.
28. Morgenstern L, Uyeda RY. Nonoperative management of injuries of the spleen in adults. Surg Gynecol Obstet. 1983; 157:513-518.
29. Powell M, Courcoulas A, Gardner M, et al. Management of blunt splenic trauma: significant differences between adults and children. Surgery. 1997;122:654-660.