M N Aslam, A A Ali, M J Ather, A M Chaudry.
Changing Patterns in the Management of Splenic Trauma.
Ann King Edward Med Uni Jan ;6-4:406-8.

A study of 24 patients who had splenic injury from 1998 to 2000 was carried out. Most of these patient 58.33% had splenic salvage either by splenorrhaphy or partial splenectomy. Splenectomy was done in 33.33% of cases and 8.33% were managed conservatively by not operating. By saving spleen one can avoid post-splenectomy sepsis. Use of ultrasound and more important CT scan helps in conservative treatment. Conclusion: Trend towards patients with splenic injuries is now becoming more and more conservative. Splenectomy definitely has more serious, and life threatening complications. Splenorrhaphy or partial splenectomy should be attempted wherever possible. Nonoperative management has become the most common method of managing blunt splenic injuries in hemodynamically stable adult patients. But this kind of treatment modality definitely needs good imaging devices and expertises in the emergency department.

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