Nonoperative management of splenic injuries: Have we gone too far?

Archives of Surgery

Volumn 135, Issue 6, 2000, Pages 674-681

  Velmahos, George C ^a,c   Chan, Linda S ^b   Kamel, Eman ^a   Murray, James A ^a   Yassa, Nabil ^a   Kahaku, Deborah ^a   Berne, Thomas V ^a   Demetriades, Demetrios ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^c LAC USC MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL SURGERY; ADULT; AGED; ARTICLE; BLOOD TRANSFUSION; BLUNT TRAUMA; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; HUMAN; MALE; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RISK FACTOR; SPLEEN INJURY;

EID: 0034118738     PISSN: 00040010     EISSN: None     Source Type: Journal    
DOI: 10.1001/archsurg.135.6.674     Document Type: Article

References (30)

1. Pachter HL, Guth AA, Hofstetter SR, Spencer FC. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg. 1998;227:708-719.
2. Davis KA, Fabian TC, Croce MA, et al. Improved success in nonoperative management ot blunt splenic injuries: embolization of splenic artery pseudoaneurysms. J Trauma. 1998;44:1008-1015.
3. Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15-year experience. Am Surg. 1997;63:694-699.
4. Federle MP, Courcoulas AP, Powell M, Ferris JV, Peitzman AB. Blunt splenic injury in adults: clinical and CT criteria for management, with emphasis on active extravasation. Radiology. 1998;206:137-142.
5. Goan YG, Huang MS, Lin JM. Nonoperative management for extensive hepatic and splenic injuries with significant hemoperitoneum in adults. J Trauma. 1997; 45:360-365.
6. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Splenic injury: trends in evaluation and management. J Trauma. 1998;44:283-286.
7. 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. 1990;46:87-90.
8. Gaunt WT, McCarthy MC, Lambert CS, et al. Traditional criteria for observation of splenic trauma should be challenged. Am Surg. 1999;65:689-691.
9. Avanoglou A, Ulman I, Ergun O, et al. Blood transfusion requirements in children with blunt spleen and liver injuries. Eur J Pediatr Surg. 1998;8:322-325.
10. Cocanour CS, Moore FA, Ware DN, et al. Delayed complications of nonoperative management of blunt adult splenic trauma. Arch Surg. 1998;133:619-624.
11. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38:323-324.
12. Fleiss JL. Statistical Methods for Rates and Proportions. New York, NY: John Wiley & Sons Inc; 1973.
13. Bain IM, Kirby RM. Ten year experience of splenic injury: an increasing place for conservative management of splenic trauma. Injury. 1998;29:177-182.
14. Demetriades D, Chan L, Velmahos GC, et al. TRISS methodology in trauma: the need for alternatives. Br J Surg. 1998;85:379-384.
15. Cornwell EE III, Velmahos GC, Berne TV, et al. Lethal abdominal gunshot wounds at a level I trauma center: analysis of TRISS fallouts. J Am Coll Surg. 1998;187: 123-129.
16. Starnes S, Klein P, Magagna L, Pomerantz R. Computed tomographic grading is useful in the selection of patients for nonoperative management of blunt injury to the spleen Am Surg. 1998;64:743-749.
17. Powell M, Courcoulas A, Gardner M, et al. Management of blunt splenic trauma: significant differences between adults and children. Surgery. 1997;122:654-660.
18. Scatamacchia SA, Raptopoulos V, Fink MP, Silva WE. Splenic trauma in adults: impact of CT grading on management. Radiology. 1989;171:725-729.
19. Williams RA, Black JJ, Sinow RM, Wilson SE. Computed tomography-assisted management of splenic trauma. Am J Surg. 1997;174:276-279.
20. Sanders MN, Civil I, Adult splenic injuries: treatment patterns and predictive indicators. Aust N Z J Surg. 1999;69:430-432.
21. Froment P, Savioz D, Aguilar M, Rinad N, Morel P. Isolated splenic trauma in adults: values of Rescini's CT scoring system to define the indications for surgery. Ann Chir. 1998;52:983-987.
22. Buntain WL, Gould HR, Maull KI. Predictability of splenic salvage by computed tomography. J Trauma. 1988;28:24-34.
23. Gavant ML, Schurr M, Flick PA, Croce MA, Fabian TC, Gold RE, Predicting clinical outcome of nonsurgical management of blunt splenic injury: using CT to reveal abnormalities of splenic vasculature, AJR Am J Roentgenol. 1997;168:207-212.
24. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management. J Trauma. 1995;39:507-514.
25. 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.
26. Mirvis SE, Whitley NO, Gens DR. Blunt splenic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology. 1989;171: 33-39.
27. Brick SH, Taylor GA, Potter BM, Eichelberger M. Hepatic and splenic injury in children: role of CT in the decision for laparotomy. Radiology. 1987;165:643-646.
28. Becker CD, Spring P, Glättli 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.
29. 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.
30. 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.