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

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 mana...

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Veröffentlicht in:	World journal of emergency surgery Jg. 12; H. 1; S. 40 - 26
Hauptverfasser:	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
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	London BioMed Central 18.08.2017 BioMed Central Ltd Springer Nature B.V BMC
Schlagworte:	Abdominal injuries Abdominal Injuries - classification Abdominal Injuries - surgery Adult Blood diseases Care and treatment Classification Conservative Conservative Treatment - methods Embolization Emergency Medicine Guidelines Guidelines as Topic Hemodynamics Humans Immunization Immunology Infections Injuries Medicine Medicine & Public Health Non-operative Patients Pediatric Pediatric injuries Pediatrics Quality Review Spleen Spleen - injuries Spleen - physiopathology Spleen - surgery Surgery Trauma Traumatic Surgery Wounds and Injuries - classification Wounds and Injuries - physiopathology Wounds and Injuries - surgery Spleen Surgery Classification Conservative Adult Embolization Non-operative Trauma Pediatric Guidelines
ISSN:	1749-7922, 1749-7922
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Zusammenfassung:	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.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ISSN:	1749-7922 1749-7922
DOI:	10.1186/s13017-017-0151-4