Management of blunt splenic trauma: Significant differences between adults and children

Treatment Option for High Grade Spleen Injury and Predictive Factors for Non-operative Management

“…Therefore, the treatment direction is different for adults and children, and basic treatment methods are also different. For this reason, we excluded children younger than 15 years (n=40) [12]. Of the 207 patents, there were 160 (77.3%) NOM patients, mean age of 41.6±15.8 years.…”

Selective nonoperative management of blunt abdominal trauma

“…contrast that is hyperdense to the surrounding organ parenchyma. It results from either the free extravasation of blood or an accumulated collection within a contained intrasplenic or intrahepatic hematoma and portends a higher risk of non-operative treatment failure (8,(15)(16)(17).…”

“…The presence of multiple injuries and Injury Severity Scores (ISS) Ͼ 15-20 have been correlated with higher rates of failure, and have been considered by some as an absolute contraindication to SNOM (8,24,38,49,50). Others have challenged this, showing successful utilization in individuals with higher ISS (15,17,19).…”

Blunt Splenic Trauma

“…Following successr ates over 90% in treating blunt splenic injury in children (12,17), NOM has also become acceptedtreatment in adults. Success in adults (15,(25)(26)(27)48).…”