Operative versus non-operative management of splenic injuries in hemodynamically stable traumatised patients

Abstract

Background: We aimed to compare clinical outcomes and early adverse events of operative management and non-operative management in splenic injuries in hemodynamically stable patients and identify the prognostic factors.
Methods: It is a prospective, descriptive, analytical study. All consecutive patients with blunt splenic trauma who were admitted to the Department of General Surgery at Zagazig University Hospitals were included in the study. On admission, all patients will be resuscitated according to the ABCDE approach of Advanced Trauma Life Support. Patients were diagnosed clinically and confirmed radiologically by ultrasound and computed tomography for all cases. Patients were investigated by complete blood count and routine lab.
Results: Thirty patients underwent non-operative management. Of them, nineteen patients responded to the non-operative management, and the remaining eleven patients required splenectomy due to failure of the non-operative management.
Conclusion: Non-operative management of blunt solid organ injury has become the rule rather than the exception. The key decision point is the hemodynamic stability of the patient also the grade of injury and available hospital resources are considerable predictors for successful non-operative management.