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1 Non-operative management of splenic trauma - PMC - NCBI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307080/
Patients with traumatic splenic injuries can be treated surgically or conservatively according to the surgeon's or hospital's characteristics.
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2 Management of splenic injury in the adult trauma patient
https://www.uptodate.com/contents/management-of-splenic-injury-in-the-adult-trauma-patient
Surgical management is required in approximately 20 to 40 percent of patients sustaining splenic injury. Open surgical techniques are the ...
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3 An update on nonoperative management of the spleen in adults
https://tsaco.bmj.com/content/2/1/e000075
The nonoperative management of blunt splenic injury has evolved over decades and includes multiple disciplines. Careful patient selection for nonoperative ...
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4 Nonoperative Management of Splenic Trauma - JAMA Network
https://jamanetwork.com/journals/jamasurgery/fullarticle/590265
Operative splenic repair and preservation of the spleen to prevent postsplenectomy sepsis often requires considerable experience and may be a lengthy, tedious ...
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5 Splenic Rupture Treatment & Management
https://emedicine.medscape.com/article/432823-treatment
Femoral artery access with embolization of the splenic artery or its branches can be accomplished with gel foam or metal coils. Such treatment ...
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6 Splenic Injury, Blunt, Selective Nonoperative Management of
https://www.east.org/education-career-development/practice-management-guidelines/details/splenic-injury-blunt-selective-nonoperative-management-of
Nonoperative management of splenic injury consists of a period of in-hospital or ICU observation or monitoring, serial abdominal examinations, serial hematocrit ...
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7 Outcomes of Conservative Management of Splenic Injury ...
https://www.liebertpub.com/doi/10.1089/end.2020.0076
Spleen blunt trauma management has changed during recent decades, from operative to nonoperative management. Conservative management has certain ...
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8 Non-Operative Splenic Injuries
https://www.upstate.edu/surgery/pdf/healthcare/trauma/splenic-injuries.pdf
Define a clinical pathway for the non-operative management of splenic injuries. DEFINITIONS: Spleen injury: Grade I. Subcapsular hematoma, <10% surface area ...
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9 Non-operative management of blunt splenic injury: is it really ...
https://www.panafrican-med-journal.com/content/article/32/52/full
The conservative management of spleen trauma started spreading in the 60s, initially with spleen-preserving surgeries such as partial resections ...
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10 The conservative management of splenic trauma
https://www.jpedsurg.org/article/0022-3468%2871%2990380-0/abstract
Although the feasibility of conservative management of splenic injury following blunt abdominal trauma was demonstrated, laparotomy should be performed ...
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11 Splenic Rupture - TeachMeSurgery
https://teachmesurgery.com/hpb/spleen/splenic-rupture/
Management. All patients with suspect splenic injury should be assessed, resuscitated, and treated according to ATLS principles. Patients who are ...
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12 The conservative management of splenic trauma - ScienceDirect
https://www.sciencedirect.com/science/article/pii/0022346871903800
Although the feasibility of conservative management of splenic injury following blunt abdominal trauma was demonstrated, laparotomy should be performed ...
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13 Modalities in the management of splenic trauma | M.
https://www.ijsurgery.com/index.php/isj/article/view/6097
Conclusions: Conservative management has replaced splenectomy as the most common method of splenic trauma management in patients with stable ...
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14 Conservative management of splenic trauma ... - Springer Link
https://link.springer.com/article/10.1007/s00383-003-0972-y
Until 1971, routine splenectomy used to be the sacrosanct treatment for splenic trauma. It was universally believed that non-operative ...
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15 The role of grade of injury in non-operative management of b...
https://journals.lww.com/md-journal/fulltext/2019/08300/the_role_of_grade_of_injury_in_non_operative.16.aspx
The purpose of non-surgical management in trauma is to preserve the function of the spleen and of the liver, reducing the morbidity and mortality surgery ...
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16 Operative versus conservative management of splenic trauma ...
https://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=4;spage=1145;epage=1150;aulast=Mohamed;type=0
Background In the past the management of blunt splenic injuries was carried out using splenectomy. However, the high rate of operative complications caused a ...
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17 Ruptured spleen - Diagnosis and treatment - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/ruptured-spleen/diagnosis-treatment/drc-20352322
› drc-20352322
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18 Non-operative management of blunt splenic trauma: evolution ...
https://www.scielo.br/j/rcbc/a/S6N9ZBn5GLtS8J39XsFzrcz/
Currently, the consensus is that every splenic trauma presenting with hemodynamic stability should be initially treated nonoperatively, provided that the ...
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19 Management of splenic injury in the adult trauma patient
https://www.youtube.com/watch?v=tDzQ9KrQZEQ
Universitätsspital Zürich
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20 Conservative management of splenic injury in the tropics
https://journals.sagepub.com/doi/10.1258/td.2007.070344
We evaluated 69 consecutive patients with splenic injury prospectively. The outcome measures were morbidity and mortality rates, overall hospital stay and blood ...
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21 Conservative management of splenic trauma. - VIVO
https://vivo.weill.cornell.edu/display/pubid10420341
conservative approach to splenic trauma has been practised in many countries. ... show that expectant treatment of splenic injury following trauma is safe.
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22 Case series of non-operative management vs ... - JournalAgent
https://jag.journalagent.com/travma/pdfs/UTD-99442-RESEARCH_ARTICLE-CORSI.pdf
BACKGROUND: The spleen is the most easily injured organ in abdominal trauma. The conservative, operative approach has been challenged by several reports of ...
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23 Blunt Splenic Trauma: Predictors for Successful Non ...
https://www.ima.org.il/filesupload/imaj/0/47/23813.pdf
non-operative treatment of splenic trauma, the inclusion of more severe splenic injuries ... Recently published reports suggest that conservative manage-.
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24 Outcome After Conservative and Surgical Treatment of ...
https://clinicaltrials.gov/ct2/show/NCT00910182
Splenic injuries after blunt abdominal trauma are treated with increasing frequency without operation. Patients undergo observation and bed rest. In certain ...
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25 Splenic trauma: Definition, classifications, clinical profiles and ...
https://www.peertechzpublications.com/articles/OJT-5-138.php
Kocher, who already in 1911 indicated splenectomy as the only treatment for splenic lesions, we have gradually moved to less aggressive and demolitive ...
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26 Importance of a Follow-Up Ultrasound Protocol in Monitoring ...
https://www.mdpi.com/1648-9144/57/8/734/htm
Conservative, non-operative management (NOM) has been, for the last three ... The treatment method of splenic injuries is multifactorial depending on age, ...
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27 Initial trial of conservative management of splenic injury ...
https://www.2minutemedicine.com/initial-trial-of-conservative-management-of-splenic-injury-pediatrics-classics-series/
Conservative management is now considered the preferred method of management for children with splenic injury secondary to blunt trauma.
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28 Conservative management of splenic trauma: history and current ...
https://www.semanticscholar.org/paper/Conservative-management-of-splenic-trauma%3A-history-Upadhyaya/cbfe9ca35cf2335646b6140ef6690a12d0235c62
Until 1971, routine splenectomy used to be the sacrosanct treatment for splenic trauma. It was universally believed that non-operative management carried a ...
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29 Splenic rupture - Knowledge @ AMBOSS
https://www.amboss.com/us/knowledge/Splenic_rupture/
Treatment toggle arrow icon · If low-grade injury in hemodynamically stable patients. Conservative management (e.g. hospital observation with ...
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30 Managing Massive Splenic Hematoma: Exploratory ... - Cureus
https://www.cureus.com/articles/24917-managing-massive-splenic-hematoma-exploratory-laparotomy-or-active-surveillance
Splenic hematoma is a known complication of blunt force abdominal trauma. Traditional management of splenic hematomas has been primarily ...
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31 Nonā€operative management of isolated splenic trauma: An 11 ...
https://onlinelibrary.wiley.com/doi/full/10.1111/1744-1633.12552
One of the earlier large-scale studies on non-operative management of splenic trauma in adults by the Eastern Association for the Surgery of ...
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32 Blunt Splenic Trauma
https://www.aast.org/resources-detail/8764001f-b3b2-425e-89c5-5284d417de1e
With greater understanding of the splenic anatomy and function, and natural course of splenic injuries, the management has evolved into a more conservative ...
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33 Current Management of Splenic Injury | 2008-11-01
https://www.reliasmedia.com/articles/15922-current-management-of-splenic-injury
Nonoperative management of patients with blunt splenic injury employing transcatheter arterial embolization was successful in 93% of patients, and splenic ...
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34 Comparing Outcomes of Splenectomy, Embolization and ...
https://az659834.vo.msecnd.net/eventsairaueprod/production-surgeons-public/fb01a7de7a6043dcaac8b303fa8e0d45
splenectomy, embolization and conservative management that will aid and guide future management of traumatic spleen injuries. Introduction. Methods.
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35 Conservative management of splenic trauma ... - ResearchGate
https://www.researchgate.net/publication/9010980_Conservative_management_of_splenic_trauma_History_and_current_trends
... The spleen is the most frequently injured organ in blunt abdominal trauma. Splenectomy has long been the standard treatment for the spleen ...
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36 Ruptured Spleen: Symptoms, Causes & Treatment
https://my.clevelandclinic.org/health/diseases/17953-ruptured-spleen
Embolization: For grade III and IV spleen injuries, splenic embolization can help manage the bleeding prior to or instead of surgery.
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37 International Journal of Academic Medicine and Pharmacy
http://www.academicmed.org/wp-content/uploads/2022/10/121.-114.-JAMP_Arpita-617-621.pdf
CONSERVATIVE. MANAGEMENT IN SPLENIC INJURY IN BLUNT. TRAUMA ABDOMEN. S.S.N. Moulika1, Sunitha Dharavathu1. 1Assistant professor: Department of General ...
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38 Blunt Splenic Injury - Surgicalcriticalcare.net
http://www.surgicalcriticalcare.net/Guidelines/Blunt%20splenic%20injury%202015.pdf
This led in recent decades to a more conservative approach in the management of splenic injuries. NOM of splenic trauma in children was.
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39 An alternative option in the management of blunt splenic injury
https://academic.oup.com/jscr/article/2013/8/rjt061/2569008
The majority of splenic injuries can be managed conservatively. Laparotomy is indicated in the haemodynamically unstable patient, or those with other intra- ...
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40 Atraumatic Splenic Rupture - EMRA
https://www.emra.org/emresident/article/atraumatic-splenic-rupture/
Surgical management via splenectomy does seem to be the most common treatment of atraumatic splenic rupture, especially in cases of ...
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41 Therapeutic Options in Patients with Traumatic Splenic Injury
https://www.jacs.or.kr/journal/view.php?number=24
Splenic injury management has shifted to non-surgical treatment to preserve the spleen because of the postoperative risks of overwhelming ...
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42 Laparoscopic Treatment of Splenic Injury in Blunt Abdominal ...
https://www.pajtcces.com/doi/PAJT/pdf/10.5005/jp-journals-10030-1071
Videolaparoscopy and conservative treatment of splenic injuries. Acta Biomed Ateneo Parmense 1992;63(3-4):317-321. 8. Agarwal N. Laparoscopic splenectomy in a ...
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43 Splenic trauma: WSES classification and guidelines for adult ...
https://d-nb.info/1142948641/34
In addition, the modern tools in bleeding management have helped in adopting a conservative approach also in severe le- sions. Trauma management must be ...
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44 Conservative Management of Splenic Injury
https://www.physiciansweekly.com/conservative-management-of-splenic-injury/
Conservative Management of Splenic Injury ... This examination states that All patients had a preoperative registered tomography (CT) check, none ...
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45 Ruptured Spleen - Physiopedia
https://www.physio-pedia.com/Ruptured_Spleen
Post-operation: Encourage ROM, ambulation, and coughing techniques (splinted coughing). Most traumatic splenic ruptures will not be seen in physical therapy.
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46 Management of Adult Splenic Injury: A 20 Year Perspective
https://mhdo.maine.gov/_externalReports/Management%20of%20Adult%20Splenic%20Inury.pdf
of blunt splenic injury over the past 20 years in the largely rural state of Maine, and to evaluate any distinctions between treatment in trauma hospitals ...
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47 Nonoperative Management of Spontaneous Splenic Rupture ...
https://publications.aap.org/pediatrics/article/120/2/e432/70375/Nonoperative-Management-of-Spontaneous-Splenic
The management of spontaneous rupture of the diseased spleen has traditionally been splenectomy, but reports of successful nonoperative ...
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48 Non-operative management in blunt splenic trauma
https://www.pagepressjournals.org/index.php/ecj/article/view/10339
Spleen injuries are among the most frequent trauma-related injuries. The approach for diagnosis and management of Blunt Splenic Injury (BSI) ...
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49 Review of proximal splenic artery embolization in blunt ...
https://cvirendovasc.springeropen.com/articles/10.1186/s42155-019-0055-3
The spleen is the most commonly injured organ in blunt abdominal trauma. Unstable patients undergo laparotomy and splenectomy.
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50 Colonoscopy-induced splenic trauma: Strive for conservative ...
https://www.hcplive.com/view/2007-12_03
In cases where splenic trauma is identified early, the success rate of nonoperative treatment is increased considerably. Colonoscopy is one of ...
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51 Spleen trauma - LITFL.com
https://litfl.com/spleen-trauma/
Spleen trauma · ATLS approach · Most haemodynamically stable injuries can be managed non-operatively (especially Grades I to III) · Injuries involving the hilum or ...
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52 Splenic Injury After Colonoscopy: Conservative Management ...
https://www.ajronline.org/doi/10.2214/ajr.185.3.01850708?mobileUi=0
The decision to operate is aided by CT findings but ultimately depends on the clinical judgment of the referring physician. A nonoperative approach is usually ...
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53 IR Management of Splenic and Renal Trauma
https://www.appliedradiology.com/articles/ir-management-of-splenic-and-renal-trauma
Successful splenic trauma treatment relies on the ability to quickly assess for hemodynamic stability and categorize injury severity. Unstable ...
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54 Contemporary Management of Pediatric Blunt Splenic Trauma
https://www.jvir.org/article/S1051-0443(21)00004-X/fulltext
Patients under 18 years old with registered splenic injury in the National Trauma Data Bank (2007–2015) were identified.
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55 Iatrogenic splenic injury: review of the literature and medico ...
https://www.degruyter.com/document/doi/10.1515/med-2016-0059/html?lang=en
The management of an iatrogenic splenic injury can be conservative or a splenectomy can be performed. The decision to attempt splenic salvage depends on the ...
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56 Splenic trauma - WikEM
https://wikem.org/wiki/Splenic_trauma
Management · Observation, angiographic embolization, or surgery depending upon: Hemodynamic status of the patient; Grade of splenic injury ...
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57 Clinical Outcomes of Splenic Injury
https://www.jtraumainj.org/m/makeCookie.php?url=/m/journal/view.php?number=90
Conservative treatment should be considered in low-grade-injury patients (< or =Grade III). A Splenectomy was performed on 56% of the patients with Grade IV ...
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58 Splenic trauma in the twenty-first century: changing trends in ...
https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0139
It was routine practice for most minor splenic injuries to be treated nonoperatively after 1997, with the rate of nonoperative management ...
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59 Splenic Trauma during Colonoscopy: The Role of Intra ...
https://www.hindawi.com/journals/crigm/2018/4879413/
Postoperative adhesions is a predisposing factor for splenic injury, and management is either operative or nonoperative, based on hemodynamic stability ...
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60 Non-operative Management of Splenic Injury
https://www.ijhsr.org/IJHSR_Vol.8_Issue.8_Aug2018/48.pdf
overwhelming post-splenectomy sepsis. [6] has motivated trauma physicians towards conservative management of injured spleen.
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61 Active Hemorrhage and Vascular Injuries in Splenic Trauma
https://pubs.rsna.org/doi/10.1148/radiol.13121242
The frequency of successful conservative management decreased with increasing severity of splenic injury such that, for example, 18 of the ...
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62 Conservative Versus Operative Management of Blunt Splenic ...
https://ejhm.journals.ekb.eg/article_19897.html
Now, nonoperative management of hemodynamically stable patients with blunt splenic injuries is the standard of care and has been proven to be safe and ...
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63 Management of splenic injuries in a regional setting
https://researchonline.jcu.edu.au/34662
Recent studies suggest that conservative management is now attempted in 60-80% of patients with a splenic injury with a success rate of ...
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64 Excellent Results Of Conservative Treatment by Minimal ...
https://www.kenkyugroup.org/article/34/50/Spontaneous-Grade-iv-Splenic-Laceration--Excellent-Results-Of-Conservative-Treatment-By-Minimal-Invasive-Approach--A-Case-Report
The common approach for splenic injuries was to perform splenectomy for controlling bleeding. Independently from the degree of rupture or laceration, it was the ...
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65 impact of splenic artery embolization - Termedia
https://www.termedia.pl/Journal/-42/pdf-23246-10?filename=literature%20review.pdf
tor analysis showed two independent conservative treatment failure factors: grade V according to the. AAST grading system of spleen injury and cerebral.
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66 Splenic laceration after routine colonoscopy, a case report of a ...
https://tgh.amegroups.com/article/view/3753/4520
Treatment depends on the severity of the splenic injury. Patients with normal blood pressure and hematocrit, a lower grade of splenic injury and ...
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67 Papers 10 year experience of splenic injury
https://www.injuryjournal.com/article/S0020-1383(97)00170-8/pdf
10 year experience of splenic injury: an increasing place for conservative management after blunt trauma. I. M. Bain and R. M. Kirby.
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68 experience in 136 patients with blunt splenic injury]. - Abstract
https://europepmc.org/article/med/20667566
Surgical treatment was used in 79.99% of the high grade lesions and conservative treatment was used in 55.69% of the low grade lesions. Angiography and ...
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69 Shock due to Splenic Injury after Colonoscopy - FullText
https://www.karger.com/Article/Fulltext/455940
Conservative treatment is an option in haemodynamically stable patients [5]. Ha and Minchin [1] reported conservative treatment in 25% of the ...
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70 Ruptured spleen: Symptoms, treatment, and causes
https://www.medicalnewstoday.com/articles/192110
There are two main types of treatment for a ruptured spleen: Surgical intervention and observation. Many people with a ruptured spleen ...
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71 The management of blunt splenic injury in adults
https://www.hamdanjournal.org/article.asp?issn=2227-2437;year=2018;volume=11;issue=3;spage=112;epage=115;aulast=Alozaibi
Only 12 patients had an isolated splenic injury. Of 153 patients, 106 were managed conservatively; only 6/106 failed the conservative treatment ...
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72 Conservative management of splenic trauma in adults - BestBets
https://bestbets.org/bets/bet.php?id=1534
Conservative management of splenic trauma in adults. Report By: Ghulam Mustafa - (LAS) Registrar A&E; Search checked by Ashraf Ali - SpR A&E ...
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73 Splenic Trauma | Alfred Emergency Education
https://emergencyeducation.org.au/splenic-trauma/
In the past three decades, the management of splenic injuries has shifted towards preservation of the spleen. This is in recognition of its ...
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74 Long term outcomes of nonoperative treatment of blunt ...
https://elischolar.library.yale.edu/cgi/viewcontent.cgi?article=2682&context=ymtdl
Looking at the outcome studies for patients treated surgically for blunt abdominal injuries to the liver and spleen, it is easy to see why conservative.
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75 Conservative Management Of Isolated Splenic Injury In A ...
https://www.worldwidejournals.com/global-journal-for-research-analysis-GJRA/article/conservative-management-of-isolated-splenic-injury-in-a-tertiary-hospital/MTE3MjI=/
Conservative management is applicable to hemodynamically stable patients with spleen injuries detected by CT . Total splenectomy was regarded as the ...
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76 Splenic injury: diagnosis and management - MAG Online Library
https://www.magonlinelibrary.com/doi/10.12968/hmed.2015.76.4.204
The use of expectant management for splenic trauma is increasing; minor injuries are routinely managed conservatively, and there has been a ...
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77 Splenic trauma: WSES classification ... - VCU Scholars Compass
https://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=1056&context=surgery_pubs
-Patients should undergo to OM in case of hemodynamic instability, failure of conservative treatments, severe coexisting injuries necessitating intervention and ...
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78 Splenic injury management; conservative vs operative
http://www.recentscientific.com/splenic-injury-management-conservative-vs-operative-our-experience-5-years
› splenic-injury-manag...
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79 venous thromboembolism prophylaxis in blunt splenic injury
https://www.treffresno.org/wp-content/uploads/2019/11/Time-is-now-venous-thromboembolism-prophylaxis-in-blunt-splenic-injury.pdf
Nonoperative management (NOM) has become the standard of care for treatment of hemodynamically stable patients with blunt splenic injuries.1–4 However, these.
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80 The Incidence of Splenic Injury Following Blunt Abdominal ...
https://www.scirp.org/journal/paperinformation.aspx?paperid=77832
All the patients with Grade I and Grade II had conservative management. 5 (71%) patients with Grade III and 8 (80%) patients with Grade IV had also conservative ...
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81 non-operative management of blunt splenic injuries in a ...
https://ugeskriftet.dk/files/scientific_article_files/2018-11/a4998.pdf
the primary treatment for blunt splenic injuries in children. ... mitted to our level 1-trauma centre with blunt splenic injury.
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82 Splenic Injury and Pseudoaneurysms in a Traumatic Setting
https://med.uth.edu/radiology/wp-content/uploads/sites/9/2020/10/Splenic-Injury-with-Subcapsular-Hematoma-and-Pseudoaneurysms-Alford-Yakira-MS4-Dr.-R.-Bilow.pdf
Splenic Injury and Pseudoaneurysms ... LifeFlighted as a level 1 trauma for higher level of care ... Conservative management/observation.
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83 Ruptured Spleen: Symptoms, Causes, Surgery, and Recovery
https://www.webmd.com/digestive-disorders/ruptured-spleen
In the past, treatment for a spleen injury always meant removal of the entire organ, called a splenectomy. However, doctors now say that some ...
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84 Non-operative treatment approach for blunt splenic injury - DOI
https://dx.doi.org/10.5505/tjtes.2013.89411
of injury grade. METHODS. Thirty-one blunt splenic trauma cases subjected to non- operative treatment were evaluated retrospectively. The.
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85 Outcomes Following Blunt Traumatic Splenic Injury Treated ...
https://journals.ku.edu/kjm/article/view/11798
Laparotomy, embolization, and observation are described for blunt splenic injury management. This study evaluated outcomes of blunt splenic ...
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86 Splenic rupture after videothoracoscopic procedure
https://www.jtcvs.org/article/S0022-5223(14)01063-0/fulltext
Splenic rupture after videothoracoscopic lung procedures is a very rare event. We report a case in which conservative management including ...
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87 Delayed Splenic Rupture: A Case Report and Literature Review
https://www.currentsurgery.org/index.php/jcs/article/view/323/308
Gastroenterology diagnosed the case as traumatic pancreatitis and offered him conservative treatment. A contrast-enhanced abdominal CT was done and showed no ...
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88 Optimizing the management of blunt splenic injury in adults ...
https://www.surgjournal.com/article/S0039-6060(99)70139-X/pdf
managing splenic injury in both adults and children ... The treatment for splenic injury is evolving to an increased use of nonoperative manage-.
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89 Retrospective Assesment of Spleen Injuries in Children
https://dergipark.org.tr/en/download/article-file/1968937
splenic injuries, but one of our patients died from brain injury while in nonoperative treatment. Conclusion: Conservative treatment methods ...
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90 Conservative management of ruptured spleen
https://journals.co.za/doi/pdf/10.10520/AJA20785135_16061
For many years it was accepted that splenic injury was best managed by splenectomy. However, it has more.
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91 Splenic trauma - Causes, Complications, Management
https://www.slideshare.net/thisisvikasv/splenic-trauma-causes-complications-management
Treatment • Approximately 70% to 90% of children with splenic injury receive Non-. NOM of Splenic Trauma • NOM is considered the gold standard ...
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92 Splenic Injuries | Radiology Key
https://radiologykey.com/splenic-injuries/
The aim of a correct and prompt diagnosis is to refer the patient to a surgical or conservative treatment, already in the acute phase, and avoid ...
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93 Colonoscopy-Associated Splenic Injury in a 56-Year-Old ...
https://www.aafp.org/pubs/afp/issues/2011/0401/p786.html
Based on the extent of the splenic injury and hemodynamic status, conservative management, splenic artery embolization, or surgical ...
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