Literature review of non-operative management of patients with blunt splenic injury: impact of splenic artery embolization.

Wideochir Inne Tech Maloinwazyjne

Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland.

Published: September 2014

Splenic injuries constitute the most common injuries accompanying blunt abdominal traumas. Non-operative treatment is currently the standard for treating hemodynamically stable patients with blunt splenic injuries. The introduction of splenic angiography has increased the possibility of non-operative treatment for patients who, in the past, would have qualified for surgery. This cohort includes mainly patients with severe splenic injuries and with active bleeding. The results have indicated that applying splenic angioembolization reduces the frequency of non-operative treatment failure, especially in severe splenic injuries; however, it is still necessary to perform prospective, randomized clinical investigations.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198651PMC
http://dx.doi.org/10.5114/wiitm.2014.44251DOI Listing

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