[Diagnosis and therapy of splenic rupture in severe polytrauma]

In the last 10 years 57 polytraumatized patients were operated on ruptures of the spleen after blunt abdominal trauma. Sonography was used as a reliable method for the decision to an operative treatment. Every spleen that was ruptured grade I and II was primarily preserved by fibrin sealant or together with collagen haemostatic felt. In ruptures of the spleen grade III and IV we preferred the splenectomy. Only in one child with rupture of the spleen grade III preservation of the spleen was achieved by capsular sutures.