Beyond splenectomy — options for the management of splenic trauma

Abstract

The spleen remains a vulnerable organ to blunt or penetrating abdominal trauma and recognition of its important immunological role has meant that alternatives to mandatory splenectomy for splenic injury are now available. This article examines the alternatives to splenectomy and then discusses the post-splenectomy management of patients.

Emergency splenectomy for traumatic splenic injury following colonoscopy

“…3 Minor to moderate splenic injury without haemodynamic compromise can undergo a trial of selective non-operative management whereas high grade or unstable cases require surgery. 4…”