Splenic trauma : WSES classification and guidelines for adult and pediatric patients

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Coccolini , F , Montori , G , Catena , F , Kluger , Y , Biffl , W , Moore , E E , Reva , V , Bing , C , Bala , M , Fugazzola , P , Bahouth , H , Marzi , I , Velmahos , G , Ivatury , R , Soreide , K , Horer , T , ten Broek , R , Pereira , B M , Fraga , G P , Inaba , K , Kashuk , J , Parry , N , Masiakos , P T , Mylonas , K S , Kirkpatrick , A , Abu-Zidan , F , Gomes , C A , Benatti , S V , Naidoo , N , Salvetti , F , Maccatrozzo , S , Agnoletti , V , Gamberini , E , Solaini , L , Costanzo , A , Celotti , A , Tomasoni , M , Khokha , V , Arvieux , C , Napolitano , L , Handolin , L , Pisano , M , Magnone , S , Spain , D A , de Moya , M , Davis , K A , De Angelis , N , Leppaniemi , A , Ferrada , P , Latifi , R , Navarro , D C , Otomo , Y , Coimbra , R , Maier , R V , Moore , F , Rizoli , S , Sakakushev , B , Galante , J M , Chiara , O , Cimbanassi , S , Mefire , A C , Weber , D , Ceresoli , M , Peitzman , A B , Wehlie , L , Sartelli , M , Di Saverio , S & Ansaloni , L 2017 , ' Splenic trauma : WSES classification and guidelines for adult and pediatric patients ' , World journal of emergency surgery , vol. 12 , 40 . https://doi.org/10.1186/s13017-017-0151-4

Title: Splenic trauma : WSES classification and guidelines for adult and pediatric patients
Author: Coccolini, Federico; Montori, Giulia; Catena, Fausto; Kluger, Yoram; Biffl, Walter; Moore, Ernest E.; Reva, Viktor; Bing, Camilla; Bala, Miklosh; Fugazzola, Paola; Bahouth, Hany; Marzi, Ingo; Velmahos, George; Ivatury, Rao; Soreide, Kjetil; Horer, Tal; ten Broek, Richard; Pereira, Bruno M.; Fraga, Gustavo P.; Inaba, Kenji; Kashuk, Joseph; Parry, Neil; Masiakos, Peter T.; Mylonas, Konstantinos S.; Kirkpatrick, Andrew; Abu-Zidan, Fikri; Gomes, Carlos Augusto; Benatti, Simone Vasilij; Naidoo, Noel; Salvetti, Francesco; Maccatrozzo, Stefano; Agnoletti, Vanni; Gamberini, Emiliano; Solaini, Leonardo; Costanzo, Antonio; Celotti, Andrea; Tomasoni, Matteo; Khokha, Vladimir; Arvieux, Catherine; Napolitano, Lena; Handolin, Lauri; Pisano, Michele; Magnone, Stefano; Spain, David A.; de Moya, Marc; Davis, Kimberly A.; De Angelis, Nicola; Leppaniemi, Ari; Ferrada, Paula; Latifi, Rifat; Navarro, David Costa; Otomo, Yashuiro; Coimbra, Raul; Maier, Ronald V.; Moore, Frederick; Rizoli, Sandro; Sakakushev, Boris; Galante, Joseph M.; Chiara, Osvaldo; Cimbanassi, Stefania; Mefire, Alain Chichom; Weber, Dieter; Ceresoli, Marco; Peitzman, Andrew B.; Wehlie, Liban; Sartelli, Massimo; Di Saverio, Salomone; Ansaloni, Luca
Contributor: University of Helsinki, I kirurgian klinikka (Töölö)
University of Helsinki, II kirurgian klinikka
Date: 2017-08-18
Language: eng
Number of pages: 26
Belongs to series: World journal of emergency surgery
ISSN: 1749-7922
URI: http://hdl.handle.net/10138/224272
Abstract: Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.
Subject: Spleen
Trauma
Adult
Pediatric
Classification
Guidelines
Embolization
Surgery
Non-operative
Conservative
BLUNT ABDOMINAL-TRAUMA
SOLID-ORGAN INJURY
SELECTIVE NONOPERATIVE MANAGEMENT
MOLECULAR-WEIGHT HEPARIN
ARTERY EMBOLIZATION
FOLLOW-UP
LIVER-INJURY
COMPUTED-TOMOGRAPHY
CONTRAST BLUSH
NONSURGICAL MANAGEMENT
3126 Surgery, anesthesiology, intensive care, radiology
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