Introduction : The nonoperative management of traumatic spleen injuries is the modality of
choice in patients with blunt abdominal trauma and hemodynamic stability. However,
there are still questions about the treatment indication in some groups of
patients, as well as its follow-up. Aim: Update knowledge about the spleen injury.
Method : Was performed review of the literature on the nonoperative management of blunt
injuries of the spleen in databases: Cochrane Library, Medline and SciELO. Were
evaluated articles in English and Portuguese, between 1955 and 2014, using the
headings "splenic injury, nonoperative management and blunt abdominal trauma".
Results : Were selected 35 articles. Most of them were recommendation grade B and C.
Conclusion : The spleen traumatic injuries are frequent and its nonoperative management is a
worldwide trend. The available literature does not explain all aspects on
treatment. The authors developed a systematization of care based on the best
available scientific evidence to better treat this condition.
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