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Related Experiment Videos

Conservative treatment in splenic trauma

A Tricarico1, F Sicoli, F Calise

  • 1Department of Emergency Surgery, Cardarelli Hospital, Naples, Italy.

Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1993
PubMed
Summary

Conservative management of splenic injuries is effective. Splenectomy with autotransplantation preserves spleen function, offering a safe alternative when non-operative or partial splenic procedures are not feasible.

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Message from the Editors in Chief.

Updates in surgery·2019

Area of Science:

  • Trauma Surgery
  • Immunology
  • Surgical Innovation

Background:

  • Blunt abdominal trauma frequently causes splenic injuries.
  • The spleen's role in infection prevention is increasingly recognized, supporting conservative management.
  • Previous management strategies for splenic trauma varied significantly.

Purpose of the Study:

  • To evaluate the outcomes of various splenic injury treatments.
  • To assess the efficacy of splenectomy with autotransplantation in preserving splenic function.
  • To compare immunohaematological activity across different treatment groups.

Main Methods:

  • Retrospective analysis of 215 consecutive splenic injury cases (1982-1989).
  • Treatment modalities included non-operative management (NOM), splenorrhaphy, partial splenectomy, splenectomy with autotransplantation, and splenectomy alone.

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  • Long-term follow-up (up to 5 years) with immunohaematological studies, radioisotopic, echographic, and histological assessments.

    • Main Results:

    • Splenectomy with autotransplantation showed near-normal immunohaematological activity compared to splenectomy alone.
    • No major complications were noted in the autotransplantation group.
    • Autotransplanted splenic tissue demonstrated good function and morphology via multiple imaging and histological studies.

    Conclusions:

    • Conservative management of splenic trauma should be prioritized.
    • Splenectomy with autotransplantation is a safe and reliable technique for preserving splenic function when other conservative measures fail.
    • This technique offers a viable alternative to complete splenectomy, mitigating infection risks.