<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Although the introduction of specific guidelines regarding the acute management of trauma patients have resolved many inconsistencies in the acute treatment pathways, grey areas are still preventing consensus and unitary standards of care. The treatment of splenic injuries has seen a notable shift from splenectomy only in the early 20th century to mainly non-operative contemporary approaches. However, there is no current agreement on the optimum timing of switching from conservative to operative decisions, raising the legitimate question of whether some patients are put at risk by waiting too much or other patients are deprived of a necessary organ by not waiting enough.</p>
<p>This paper focuses on the non-operative paradigms of blunt splenic injuries and their immediate and long-term clinical implications presented as a short narrative review. It presents the historical perspective on the treatment of splenic injuries, the role of surgery and selective angioembolisation and their repercussions on the immunological functions of the spleen.</p>
</abstract>

Although the introduction of specific guidelines regarding the acute management of trauma patients have resolved many inconsistencies in the acute treatment pathways, grey areas are still preventing consensus and unitary standards of care. The treatment of splenic injuries has seen a notable shift from splenectomy only in the early 20th century to mainly non-operative contemporary approaches. However, there is no current agreement on the optimum timing of switching from conservative to operative decisions, raising the legitimate question of whether some patients are put at risk by waiting too much or other patients are deprived of a necessary organ by not waiting enough.
This paper focuses on the non-operative paradigms of blunt splenic injuries and their immediate and long-term clinical implications presented as a short narrative review. It presents the historical perspective on the treatment of splenic injuries, the role of surgery and selective angioembolisation and their repercussions on the immunological functions of the spleen.

Non-operative management of blunt splenic injuries beyond safety conditions A short narrative review

“Carol Davila” University of Medicine and Pharmacy Bucharest, Faculty of Medicine

Romanian Journal of Orthopaedic Surgery and Traumatology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Although the introduction of specific guidelines regarding the acute management of trauma patients have resolved many inconsistencies in the acute treatment...

Non-operative management of blunt splenic injuries beyond safety conditions A short narrative review

Publicado en línea: 13 ago 2021

Páginas: 46 - 52

Aceptado: 19 jul 2021

DOI: https://doi.org/10.2478/rojost-2021-0008

Palabras clave
blunt splenic injuries, non-operative, splenectomy, selective embolisation

© 2021 Cătălin Aliuş et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Non-operative management of blunt splenic injuries beyond safety conditions A short narrative review

Publicado en línea: 13 ago 2021

Páginas: 46 - 52

Aceptado: 19 jul 2021

DOI: https://doi.org/10.2478/rojost-2021-0008

Palabras claveblunt splenic injuries, non-operative, splenectomy, selective embolisation

© 2021 Cătălin Aliuş et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Palabras clave
blunt splenic injuries, non-operative, splenectomy, selective embolisation