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Current Surgery Reports

, 6:14 | Cite as

Current Management of Splenic Injuries: Who Needs a Splenectomy?

  • Nathan Teague Mowery
  • Charles Caleb Butts
  • Erika Borgerding Call
Trauma Surgery (J. Diaz, Section Editor)
  • 18 Downloads
Part of the following topical collections:
  1. Trauma Surgery

Abstract

Purpose of Review

This is a review of the current indications for splenectomy for trauma.

Recent Findings

As the role of interventional radiology and the acceptance of non-operative strategies gain wider acceptance, the role of splenectomy is decreasing. There continues to be questions on how far the role of non-operative management can be pushed and at what cost. Alternatively, that risk must be weighed against the long and short term consequences of a splenectomy.

Summary

Emergent surgical exploration of the abdomen is indicated for hemodynamically unstable trauma patients and patients with peritonitis from an associated injury. All other patients can be considered for non-operative management with various adjuncts to maximize effectiveness.

Keywords

Splenectomy Splenic trauma Splenic embolization Complication of splenic surgery 

Notes

Compliance with Ethical Guidelines

Conflict of interest

Nathan Teague Mowery, Charles Caleb Butts, and Erika Borgerding Call declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Nathan Teague Mowery
    • 1
  • Charles Caleb Butts
    • 1
  • Erika Borgerding Call
    • 1
  1. 1.Division of Trauma and Critical Care, Department of SurgeryWake Forest Baptist Medical CenterWinston-SalemUSA

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