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Splenic implant assessment in trauma
Insights
Trauma is a major global health concern. Current trends in spleen trauma management favor conservative approaches to preserve splenic function, recognizing the spleen
Area of Science:
- Traumatology
- Surgical Management
- Organ Preservation
Background:
- Trauma ranks as the fourth leading cause of death globally and the primary cause of mortality in individuals under 45.
- Abdominal trauma accounts for 10-12% of all polytrauma cases, with the spleen and liver being the most frequently injured organs.
Purpose of the Study:
- To review the evolving therapeutic strategies for spleen trauma.
- To highlight the shift towards organ-preserving treatments in managing splenic injuries.
Main Methods:
- Review of current clinical and experimental data on spleen trauma management.
- Analysis of treatment trends, including non-surgical, conservative surgical, and splenectomy approaches.
Main Results:
- Spleen trauma management has diversified over decades, encompassing non-surgical and various surgical interventions.
- Evidence supports the principle of spleen preservation: intact spleen > partial spleen > no spleen.
Conclusions:
- Modern therapeutic trends for spleen trauma are increasingly oriented towards conservative methods.
- Preserving splenic tissue is prioritized to maintain organ function and patient outcomes.
Abstract:
Trauma is a global health issue, being the 4th death cause after cardio-vascular disease, malignancies and chronic pulmonary diseases and the main death cause among young people, under 45 years (1). The frequency of abdominal trauma is 10-12% of all polytrauma, and from all abdominal organs, the spleen and liver are the most often involved in polytraumatized patients case (2). The first purpose of a successful operational management is the control of active bleeding, and the second is preserving as much as possible of the destroyed organs. Over the last decades, the treatment of spleen traumas had been diversified,from nonsurgical treatment to surgical, also complex and diversified: from conservative treatment to splenectomy.Currently, from a therapeutic standpoint, the trends in spleen trauma are orientated towards conservative methods as the clinical and experimental data have shown that it is better with the entire spleen than part of it, and better with a part of it than with none at all (Raymond Hinshaw) (3).
