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Splenic trauma: WSES classification and guidelines for adult and pediatric patients
Papa Giovanni XXIII Hospital, General, Emergency and Trauma Surgery, P.zza OMS 1, Bergamo, Italy.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery.
Papa Giovanni XXIII Hospital, General, Emergency and Trauma Surgery, P.zza OMS 1, Bergamo, Italy.
Number of Authors: 68
2017 (English)In: World Journal of Emergency Surgery, ISSN 1749-7922, E-ISSN 1749-7922, Vol. 12, 40Article, review/survey (Refereed) Published
Abstract [en]

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 12, 40
Keyword [en]
Spleen, Trauma, Adult, Pediatric, Classification, Guidelines, Embolization, Surgery, Non-operative, Conservative
National Category
Anesthesiology and Intensive Care Surgery
Identifiers
URN: urn:nbn:se:oru:diva-60597DOI: 10.1186/s13017-017-0151-4ISI: 000408029400001PubMedID: 28828034Scopus ID: 2-s2.0-85027713022OAI: oai:DiVA.org:oru-60597DiVA: diva2:1138442
Available from: 2017-09-05 Created: 2017-09-05 Last updated: 2017-11-07Bibliographically approved

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Hörer, Tal M.

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