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Review| Volume 23, ISSUE 1, P5-9, 1992

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Management of splenic trauma

  • R.H. Wilson
    Affiliations
    Department of Surgery, The Queen's University of Belfast, UK
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  • R.J. Moorehead
    Correspondence
    Requests for reprints should be addressed to: Mr R. J. Moorehead, Senior Lecturer, The Queen's University of Belfast, Department of Surgery, Institute of Clinical Science, Grosvenor Road, Belfast BT12 6BJ, N. Ireland.
    Affiliations
    Department of Surgery, The Queen's University of Belfast, UK
    Search for articles by this author
DOI:https://doi.org/10.1016/0020-1383(92)90116-A
Management of splenic trauma
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      Abstract

      This article examines the current management of trauma to the spleen. The incidence, mechanism, classification, diagnosis, treatment and complications of splenic trauma are reviewed. Modern radiological investigations are assessed in view of the recent vogue for non-operative management. The effects of splenectomy and particularly of overwhelming post-splenectomy sepsis are discussed. The role of non-operative management of splenic injuries in children and in adults without associated injuries is emphasized. Means of repairing and preserving the spleen are detailed. Prompt splenectomy is necessary in seriously traumatized patients, especially those with head or multiple injuries.
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      Article info

      Publication history

      Accepted: March 28, 1991

      Identification

      DOI: https://doi.org/10.1016/0020-1383(92)90116-A

      Copyright

      © 1992 Published by Elsevier Inc.

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