Samenvatting
De laatste decennia is conservatieve behandeling de standaard bij kinderen met geïsoleerd lever- of miltletsel ten gevolge van stomp buiktrauma. Studies tonen percentages waarbij tot in slechts 3% van de gevallen een splenectomie werd uitgevoerd, zonder patienten bloot te stellen aan verhoogde risico’s.2
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Literatuur
Dervan LA, King MA, Cuschieri J, et al. Pediatric solid organ injury operative interventions and outcomes at Harborview Medical Center, before and after introduction of a solid organ injury pathway for pediatrics. J Trauma Acute Care Surg. 2015 Aug;79(2):215-20.
Bowman SM, Bulger E, Sharar SR, Maham SA, Smith SD. Variability in pediatric splenic injury care: results of a national survey of general surgeons. Arch Surg. 2010;145(11):1048Y1053.
Notrica DM, Eubanks JW 3rd, Tuggle DW, et al. Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE. J Trauma Acute Care Surg. 2015 Oct;79(4):683-93.
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Referenten: N.P. Hockers, J.G.H. van den Brand
1 aios chirurgie, vooropleiding Orthopaedie
2 traumachirurg Beide auteurs zijn verbonden aan Medisch Centrum Alkmaar, Alkmaar, afdeling Chirurgie
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LA, D., MA, K., J, C. et al. Pediatric solid organ injury operative interventions and outcomes at Harborview Medical Center, before and after introduction of a solid organ injury pathway for pediatrics. Ned Tijdschr Traumachir 23, 136–138 (2015). https://doi.org/10.1007/s12506-015-0036-7
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DOI: https://doi.org/10.1007/s12506-015-0036-7