Main controversies in the nonoperative management of blunt splenic injuries

Main controversies in the nonoperative management of blunt splenic injuries

Title: Main controversies in the nonoperative management of blunt splenic injuries;
Principais controvérsias do tratamento não operatório das lesões contusas do baço
Author Marcante Carlotto, Jorge Roberto Autor UNIFESP Google Scholar
Lopes-Filho, Gaspar de Jesus Autor UNIFESP Google Scholar
Colleoni-Neto, Ramiro Autor UNIFESP Google Scholar
Abstract Introduction: The nonoperative management of traumatic spleen injuries is the modality of choice in patients with blunt abdominal trauma and hemodynamic stability. However, there are still questions about the treatment indication in some groups of patients, as well as its follow-up. Aim: Update knowledge about the spleen injury. Method: Was performed review of the literature on the nonoperative management of blunt injuries of the spleen in databases: Cochrane Library, Medline and SciELO. Were evaluated articles in eng and por, between 1955 and 2014, using the headings "splenic injury, nonoperative management and blunt abdominal trauma". Results: Were selected 35 articles. Most of them were recommendation grade B and C. Conclusion: The spleen traumatic injuries are frequent and its nonoperative management is a worldwide trend. The available literature does not explain all aspects on treatment. The authors developed a systematization of care based on the best available scientific evidence to better treat this condition.
Keywords Spleen
Therapeutics
Blunt Trauma
Abdomen
HemorrhageAbdominal Organ Injuries
Eastern Association
Artery Embolization
Member Practices
Success Rate
Long Enough
Trauma
Outcomes
Failure
Surgery
Language English
Date 2016
Published in Abcd-Arquivos Brasileiros De Cirurgia Digestiva-Brazilian Archives Of Digestive Surgery. Sao paulo sp, v. 29, n. 1, p. 60-64, 2016.
ISSN 0102-6720 (Sherpa/Romeo, impact factor)
Publisher Pagepress Publ
Extent 60-64
Origin http://dx.doi.org/10.1590/0102-6720201600010016
Access rights Open access Open Access
Type Revisão
Web of Science ID WOS:000383566600016
URI http://repositorio.unifesp.br/handle/11600/49349

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