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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| Published in: | World journal of emergency surgery Vol. 12; no. 1; pp. 40 - 26 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
London
BioMed Central
18.08.2017
BioMed Central Ltd Springer Nature B.V BMC |
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| ISSN: | 1749-7922, 1749-7922 |
| Online Access: | Get full text |
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| 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. |
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| AbstractList | 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. 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. Keywords: Spleen, Trauma, Adult, Pediatric, Classification, Guidelines, Embolization, Surgery, Non-operative, Conservative 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.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. 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. |
| Audience | Academic |
| Author | Kluger, Yoram Horer, Tal Pisano, Michele Reva, Viktor Weber, Dieter Mefire, Alain Chichom Moore, Frederick Agnoletti, Vanni Soreide, Kjetil Biffl, Walter Maccatrozzo, Stefano Pereira, Bruno M. Ivatury, Rao Benatti, Simone Vasilij Handolin, Lauri Abu-Zidan, Fikri Catena, Fausto Ferrada, Paula Ceresoli, Marco Coimbra, Raul Sartelli, Massimo ten Broek, Richard Arvieux, Catherine Moore, Ernest E. Ansaloni, Luca Bahouth, Hany Navarro, David Costa Coccolini, Federico Latifi, Rifat Chiara, Osvaldo Davis, Kimberly A. Gamberini, Emiliano Kirkpatrick, Andrew Tomasoni, Matteo Khokha, Vladimir Marzi, Ingo Montori, Giulia Galante, Joseph M. De Angelis, Nicola Spain, David A. Sakakushev, Boris Napolitano, Lena Kashuk, Joseph Magnone, Stefano Rizoli, Sandro Costanzo, Antonio Fugazzola, Paola Naidoo, Noel Otomo, Yashuiro Di Saverio, Salomone Bing, Camilla Inaba, Kenji de Moya, Marc Wehlie, Liban Parry, Neil Peitzman, Andrew B. Bala, Miklosh Mylonas, Konstantinos S. Gomes, Carlos Augusto Velmahos, George Masiakos, Peter T. Fraga, Gustavo P. Solaini, Leonardo Salve |
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General and Emergency Surgery, Sergei Kirov Military Academy – sequence: 8 givenname: Camilla surname: Bing fullname: Bing, Camilla organization: General and Emergency Surgery Department, Empoli Hospital – sequence: 9 givenname: Miklosh surname: Bala fullname: Bala, Miklosh organization: General and Emergency Surgery, Hadassah Medical Center – sequence: 10 givenname: Paola surname: Fugazzola fullname: Fugazzola, Paola organization: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital – sequence: 11 givenname: Hany surname: Bahouth fullname: Bahouth, Hany organization: Division of General Surgery, Rambam Health Care Campus – sequence: 12 givenname: Ingo surname: Marzi fullname: Marzi, Ingo organization: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie Universitätsklinikum Goethe-Universität Frankfurt – sequence: 13 givenname: George surname: Velmahos fullname: Velmahos, George organization: Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts 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| Keywords | Spleen Surgery Classification Conservative Adult Embolization Non-operative Trauma Pediatric Guidelines |
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| Snippet | Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal... Abstract Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The... |
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| SubjectTerms | 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 |
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| Title | Splenic trauma: WSES classification and guidelines for adult and pediatric patients |
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