Update on Nonoperative Management of the Injured Spleen

Author:

Harfouche Melike N.1ORCID,Dhillon Navpreet K.1,Feliciano David V.1

Affiliation:

1. R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA

Abstract

Despite significant interest in trauma to the spleen over the past 130 years, splenectomy remained the preferred approach to splenic injures in children till the late 1950s and even later in adults. With recognition of the immunologic importance of the spleen and improvements in diagnostic imaging and angioembolization, there are now four pathways for the child or adult admitted with a possible, likely, or diagnosed injury to the spleen. These include the following: (1) operation with splenectomy; (2) operation with splenorrhaphy or partial splenectomy; (3) nonoperative management (observation); and (4) nonoperative management with splenic arteriography and possible angioembolization. This review will focus on the latter two options.

Publisher

SAGE Publications

Subject

General Medicine

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