Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 33  |  Issue : 4  |  Page : 1322-1327

Different treatment modalities in traumatic splenic injuries

1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of General Surgery, Itay El Baroud General Hospital, Itay El Baroud, Egypt

Correspondence Address:
Ahmed M Abo Ghida
MBBCh, Itay El Baroud General Hospital, Itay El Baroud
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_126_20

Rights and Permissions

Objective To evaluate surgical and nonoperative splenic conservation modalities in traumatic splenic injuries. Background Splenic injury is common, affecting up to 32% of patients with blunt abdominal trauma. Nonoperative management (NOM) of hemodynamically stable patients with blunt splenic injury has become the standard of care in pediatric and adult populations. Successful outcome following NOM is reported as up to 97% of patients regardless of the grade of splenic injury. Patients and methods This was a prospective study including 150 patients) 88 patients and the other one contained 62 patients (at Menoufia University Hospital, General Surgery Department, and Itay El Baroud General Hospital, General Surgery Department, during December 2018 to October 2019. Patients were divided into two groups: group I included patients who were hemodynamically stable, without signs of peritonitis, and group II included patients who were hemodynamically unstable and were managed operatively according to grade of injury by splenectomy, partial splenectomy, and selenography of a tear. Full history taking, clinical examination, complete blood count, and ultrasound sonographic examination were done. Results In the current study, the first group consists of 88 patients and only 22 needed blood transfusion, but in the second group, all patients needed blood transfusion. Moreover, in the first group, the minimum hospital stay was 5 days, the maximum was 9 days, and the mean were 6.40 ± 1.35, whereas in the second group, the minimum of hospital stay was 5 days, and the maximum was 7 days, with mean of 6.0 ± 0.79. Conclusion NOM for blunt splenic trauma in hemodynamically stable patients is safe, effective, and associated with low morbidity and no mortality. However, NOM should be practiced in hospitals where an efficient ICU is available.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded21    
    Comments [Add]    

Recommend this journal