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Nonoperative management of blunt splenic injury: what is new?

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

The majority of splenic injuries are currently managed nonoperatively. The primary indication for operative management of blunt splenic injury is hemodynamic instability. Findings which correlate with failure of nonoperative management include grade IV or V splenic injury, high Injury Severity Scores, or active extravasation. The role of angiograph/embolization is becoming better defined, appropriate in the patient with pseudoaneurysm or active extravasation or the stable patient with grade IV or V splenic injury.

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Conflict of interest

Gregory A. Watson, Marcus K. Hoffman, and Andrew B. Peitzman declare that they have no conflict of interest.

Compliance with ethical requirements

This work is in compliance with ethical requirements. Gregory A. Watson, Marcus K. Hoffman, and Andrew B. Peitzman declare that this is a review article that includes no studies on humans or animals.

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Authors and Affiliations

  1. Department of Surgery, F-1281, UPMC-Presbyterian, University of Pittsburgh, Pittsburgh, PA, 15213, USA

    G. A. Watson, M. K. Hoffman & A. B. Peitzman

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  1. G. A. Watson
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Correspondence to A. B. Peitzman.

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Watson, G.A., Hoffman, M.K. & Peitzman, A.B. Nonoperative management of blunt splenic injury: what is new?. Eur J Trauma Emerg Surg 41, 219–228 (2015). https://doi.org/10.1007/s00068-015-0520-1

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  • DOI: https://doi.org/10.1007/s00068-015-0520-1

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