Main controversies in the nonoperative management of blunt splenic injuries
Principais controvérsias do tratamento não operatório das lesões contusas do baço

Date
2016Author
Marcante Carlotto, Jorge Roberto [UNIFESP]
Lopes-Filho, Gaspar de Jesus [UNIFESP]
Colleoni-Neto, Ramiro [UNIFESP]
Type
RevisãoISSN
0102-6720Is part of
Abcd-Arquivos Brasileiros De Cirurgia Digestiva-Brazilian Archives Of Digestive SurgeryDOI
10.1590/0102-6720201600010016Metadata
Show full item recordAbstract
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.
Citation
Abcd-Arquivos Brasileiros De Cirurgia Digestiva-Brazilian Archives Of Digestive Surgery. Sao paulo sp, v. 29, n. 1, p. 60-64, 2016.Keywords
SpleenTherapeutics
Blunt Trauma
Abdomen
HemorrhageAbdominal Organ Injuries
Eastern Association
Artery Embolization
Member Practices
Success Rate
Long Enough
Trauma
Outcomes
Failure
Surgery
Collections
- EPM - Artigos [17701]