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Management of Splenic Injuries Utilizing a Multidisciplinary Protocol in 110 Consecutive Patients at a Level II
Marisol Zurita Saavedra1, Alejandro Pérez Alonso2, Beatriz Pérez Cabrera1
1Servicio de Cirugía General, Hospital Universitario San Cecilio, Granada, España.
Cirugia Espanola
|November 20, 2019
Summary
Non-operative management (NOM) for splenic trauma is effective in stable patients. A multidisciplinary protocol reduced NOM failure rates, supporting its use in managing splenic injuries.
Area of Science:
- Trauma Surgery
- Surgical Management
- Emergency Medicine
Background:
- Non-operative management (NOM) is the preferred approach for hemodynamically stable patients with splenic trauma.
- Assessing the failure rate of NOM is crucial for refining treatment protocols.
Purpose of the Study:
- To evaluate the failure rate of non-operative management (NOM) for splenic injuries.
- To compare these results with existing literature after implementing a multidisciplinary protocol.
Main Methods:
- A 16-year retrospective study analyzed patient data and splenic trauma management.
- Data included demographics, vital signs, injury scores (GCS, RTS, ISS), AAST injury grade, NOM failure, morbidity, and mortality.
Main Results:
- 110 patients were included; 96.5% had blunt splenic trauma.
- NOM was used in 56 patients, with a low complication rate (1/56).
- Average hospital stay was 17.6 days for NOM, compared to 29 days for conservative surgery and 22.4 days for splenectomy.
Conclusions:
- The multidisciplinary protocol contributed to a successful shift towards non-operative management (NOM).
- Despite a prolonged hospital stay, NOM demonstrates favorable outcomes for splenic trauma.
Keywords:
BazoDiagnosisDiagnósticoManejo no operatorioNon-operative managementSpleenTratamientoTraumaTraumatismosTreatmentMore Related Videos
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