Main controversies in the nonoperative management of blunt splenic injuries

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dc.contributor.authorMarcante Carlotto, Jorge Roberto [UNIFESP]
dc.contributor.authorLopes-Filho, Gaspar de Jesus [UNIFESP]
dc.contributor.authorColleoni-Neto, Ramiro [UNIFESP]
dc.date.accessioned2019-01-21T10:29:43Z
dc.date.available2019-01-21T10:29:43Z
dc.date.issued2016
dc.description.abstractIntroduction: 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.en
dc.description.affiliationSurgical Gastroenterology Division, Department of Surgery, School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo, SP, Brazil
dc.description.affiliationUnifespDisciplina de Gastroenterologia Cirúrgica, Departamento de Cirurgia, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, SP, Brasil
dc.description.sourceWeb of Science
dc.format.extent60-64
dc.identifierhttp://dx.doi.org/10.1590/0102-6720201600010016
dc.identifier.citationAbcd-Arquivos Brasileiros De Cirurgia Digestiva-Brazilian Archives Of Digestive Surgery. Sao paulo sp, v. 29, n. 1, p. 60-64, 2016.
dc.identifier.doi10.1590/0102-6720201600010016
dc.identifier.issn0102-6720
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49349
dc.identifier.wosWOS:000383566600016
dc.language.isoeng
dc.publisherPagepress Publ
dc.relation.ispartofAbcd-Arquivos Brasileiros De Cirurgia Digestiva-Brazilian Archives Of Digestive Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSpleenen
dc.subjectTherapeuticsen
dc.subjectBlunt Traumaen
dc.subjectAbdomenen
dc.subjectHemorrhageAbdominal Organ Injuriesen
dc.subjectEastern Associationen
dc.subjectArtery Embolizationen
dc.subjectMember Practicesen
dc.subjectSuccess Rateen
dc.subjectLong Enoughen
dc.subjectTraumaen
dc.subjectOutcomesen
dc.subjectFailureen
dc.subjectSurgeryen
dc.titleMain controversies in the nonoperative management of blunt splenic injuriesen
dc.titlePrincipais controvérsias do tratamento não operatório das lesões contusas do baçopt
dc.typeinfo:eu-repo/semantics/review
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