 |
|
Is Splenic Salvage Safe in the Traumatized Patient?
Armando E. Giuliano, MD;
Robert C. Lim, Jr, MD
Arch Surg. 1981;116(5):651-656.
Abstract
• Thirty-three patients with splenic injuries were treated with splenic salvage techniques. These patients were seriously injured trauma victims, often with multiple organ system damage. Hemostasis of the spleen was achieved with topical agents in 26 patients. Six patients required suture repair, with one hemisplenectomy. The postoperative complication rate was 37%; however, none of the complications could be attributed to the splenic repair. No patient required reoperation for control of bleeding. There were no subphrenic abscesses, and delayed rupture of the spleen could not be established. Splenic salvage can be done safely in selected patients. Young patients, those with isolated splenic injuries, and those in whom the repair will not unduly complicate the operation should be considered for this procedure.
(Arch Surg 1981;116:651-656)
Author Affiliations
From the Department of Surgery, University of California—San Francisco, the San Francisco General Hospital.
Footnotes
Accepted for publication Dec 23, 1980.
Read before the 88th annual meeting of the Western Surgical Association, Salt Lake City, Nov 18, 1980.
Reprint requests to Division of Oncology, Department of Surgery, UCLA School of Medicine, 54-140 CHS, University of California, Los Angeles, CA 90024 (Dr Giuliano).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Transfusion Significantly Increases the Risk for Infection After Splenic Injury
Duke et al.
Arch Surg 1993;128:1125-1132.
ABSTRACT
Nonoperative Management of the Adult Ruptured Spleen
Villalba et al.
Arch Surg 1990;125:836-839.
ABSTRACT
The Risk of Splenorrhaphy
Beal and Spisso
Arch Surg 1988;123:1158-1163.
ABSTRACT
|
