Affiliation:
1. Volgograd State Medical University of the Ministry of Health of the Russian Federation
Abstract
Background. The high frequency of injuries of the spleen, as well as its important immunocompetent role in the body, dictate the need to develop a standardized approach to the diagnosis and treatment of this category of patients.Aim. Standardization of the treatment and diagnostic approach for combined blunt splenic injury to improve treatment results.Material and methods. The analysis of literary sources of Russian and foreign authors on this issue.Results. The therapeutic and diagnostic algorithm was developed for combined blunt splenic injury based on the severity of the patient, and a detailed description of non-operative and damage control surgical treatment was given.Conclusion. The use of endovascular interventions in the treatment of splenic injuries, as well as their gradual treatment in conditions of severe polytrauma, helps to reduce mortality.
Publisher
The Scientific and Practical Society of Emergency Medicine Physicians
Reference32 articles.
1. Khakimov MSh, Sadykov RA, Ashurov ShE, Zhumanazarov AU, Imamov AA. Tactics of treatment for closed traumatic injuries of the spleen. New Day in Medicine. 2020;1(29):93–97. (in Russ.).
2. Petrov VG, Mukhacheva SYu, Trapeznikov KM, Magomedjanov KM. The question of non-operative treatment of trauma of the spleen. Meditsinskaya nauka i obrazovanie Urala. 2020;1(101):131–136. (in Russ.).
3. Nijdam TMP, Spijkerman R, Hesselink L, Leenen LPH, Hietbrink F. Predictors of surgical management of high grade blunt splenic injuries in adult trauma patients: a 5-year retrospective cohort study from an academic level I trauma center. Patient Saf Surg. 2020;14:32. PMID: 32774457 https://doi.org/10.1186/s13037-020-00257-3 eCollection 2020.
4. Pikin IYu, Nuzova OB, Kagan II. Organ-preserving operations for injuries of the spleen (literature review). J Scientific Articles Health Education Millennium. 2019;21(1):86–90. (in Russ.). https://doi.org/10.26787/nydha-2226-7425-2019-21-1-86-92
5. Smolkina AV, Makarov SV, Evseev RM, Khalitova NI. Management of patients with concomitant traumas and splenic rupture. Bulletin of the Medical Institute “REAVIZ” (Rehabilitation, Doctor and Health). 2019;3(39):137–140. (in Russ.).