Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Injuries associated with splenic trauma

A C Traub, J F Perry

    The Journal of Trauma
    |October 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Conservative nonoperative management of pediatric splenic trauma is feasible but requires careful evaluation. Diagnostic peritoneal lavage aids in identifying serious intra-abdominal injuries, preventing complications.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Letter from Dr. Perry; Gastro-Intestinal Catarrh.

    Daniel's Texas medical journal·2023
    Same author

    Stereoscopic display using rapid varifocal mirror oscillations.

    Applied optics·2010
    Same author

    Current approaches to the diagnosis and management of hepatocellular carcinoma.

    Clinical and experimental medicine·2005
    Same author

    The effect of a computer assisted instructional program on physical therapy students.

    Journal of allied health·1997
    Same author

    Thoracic spinal fractures and aortic rupture: a significant and fatal association.

    The Annals of thoracic surgery·1990
    Same author

    Blunt trauma in adults and children: a comparative analysis.

    The Journal of trauma·1990

    Area of Science:

    • Pediatric Surgery
    • Trauma Management
    • Abdominal Imaging

    Background:

    • Conservative nonoperative management (CNOM) of splenic trauma in children is gaining renewed interest.
    • Splenic trauma in children presents unique challenges due to associated injuries.
    • Understanding injury patterns is crucial for effective management.

    Purpose of the Study:

    • To review the experience with pediatric splenic trauma over 5.5 years.
    • To evaluate the incidence and types of associated injuries.
    • To assess the role of diagnostic peritoneal lavage (DPL) in management.

    Main Methods:

    • Retrospective review of 258 pediatric patients with splenic trauma.
    • Analysis of injury mechanisms (blunt vs. penetrating).

    Related Experiment Videos

  • Documentation of concomitant extra-abdominal and intra-abdominal injuries.
  • Evaluation of DPL utility in guiding surgical intervention.

    • Main Results:

    • Blunt trauma predominated (241 patients), often with extra-abdominal injuries (80%).
    • Penetrating trauma (59% with extra-abdominal injuries) had higher rates of serious intra-abdominal injuries (94%).
    • Renal, hepatic, diaphragmatic, intestinal, mesenteric, and vascular injuries were common.

    Conclusions:

    • CNOM for pediatric splenic trauma is viable but necessitates vigilance for occult intra-abdominal injuries.
    • DPL is a valuable tool for identifying patients requiring exploratory laparotomy.
    • Timely diagnosis and management of associated injuries reduce morbidity and mortality.