Splenectomy versus Splenic Preservation in Cases of Blunt Splenic Trauma: A Retrospective Study

Abstract

Original Research Article The aim of the study was to study the per-operative indications of splenic preservation with the criteria and various modes of splenic preservation. It was a retrospective study conducted on 50 patients of splenic trauma from 2016 to 2019. The mean age of patients was 38.48 years with male to female ratio of 4:1. Majority of the patients presented with pain abdomen, shock and abdominal tenderness. USG was able to identify the splenic injury in most of the patients. Laparotomy was done in 25 cases (50%), splenectomy was done in 16 cases (32%), while in 9 cases (18% 0 splenorrhaphy was done. 23 cases were managed conservatively. Spleen preservation was done in 32 cases while 16 cases had splenectomy. Spleen preservation was possible in 64% of cases by operative or non-operative methods.