The Management of Blunt Splenic Trauma

Kidd, William T.; Lui, Raphael C.; Khoo, Rachel; Nixon, James W.

doi:10.1097/00005373-198709000-00004

Cited by 12 publications

(3 citation statements)

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“…They also emphasized the importance of using modern imaging techniques (double-contrast CT scan) to exclude other intra-abdominal injuries. From this and several other combined series, it appears that nonoperative management may be successful in as many as 60% of carefully selected patients with isolated splenic injuries (Mucha et al, 1986;Kidd et al, 1987;Splenic Injury Study Group, 1987).…”

Section: Splenic Artery Aneurysmmentioning

confidence: 85%

“…When surgery is performed, the current preferred management of many injuries is to use one or more of several techniques of splenorrhaphy, or splenic repair (Seufert and Mitrou, 1985;Kidd et al, 1987), including suture of capsular lacerations, application of topical hemostatic agents, partial splenectomy, or wrapping the spleen with absorbable mesh. The commonly used techniques are described in Subheading 4.3.2.…”

Section: Splenic Artery Aneurysmmentioning

confidence: 99%

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The Complete Spleen

Bowdler¹

2002

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Section: Splenic Artery Aneurysmmentioning

confidence: 85%

Section: Splenic Artery Aneurysmmentioning

confidence: 99%

The Complete Spleen

Bowdler¹

2002

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“…3 Kidd et al, in their series of 70 patients found 60% of injury due to vehicular accidents. 5 Currie et al, found 58.6% of blunt abdominal trauma due to vehicular accidents. 6 Allan et al in their series found 70% of injuries due to vehicular accidents.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiological presentation in patients with conserved blunt liver and splenic injuries at a tertiary care center in western India

Meshram

2019

Int Surg J

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Background: There has been an increase in abdominal injuries following industrialisation and urbanisation. The mortality due to these injuries however has shown a declining trend worldwide. This is most probably due to early presentation, better access to health care and improved monitoring and treatment modalities.Methods: 51 patients of conserved blunt liver and/or splenic injuries admitted in the trauma ICU of a tertiary care center were studied over a year for demographics, mode of injuries, pre- hospital delay, clinical and radiological presentation.Results: Majority of the patients were males in the age group of 16-30 years. Vehicular accidents were the commonest mode of injuries. Liver was commonly injured. Both liver and spleen were injured in only 3 patients. 20 out of the injured 51 patients received blood transfusion and majority of them had high grade injuries. The severity of injuries was graded with both USG abdomen and CT scan of the abdomen. There was not much difference in grading of liver and splenic injuries by Ultrasound and CT scan.Conclusions: Blunt liver and splenic injuries were commonly seen in young males. Blood transfusion was required in patients with high grade injuries. USG abdomen can be safely used to grade injuries without much discrepancy when compared to CT abdomen.

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