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Sammanfattning

Today, non-operative management of blunt splenic trauma is performed with great success. However, the criteria for non-operative management are unclear, as are the factors that may predict failed non-operative management. Our study shows that the degree of splenic injury, as estimated by CT scan, the amount of haemoperitoneum and the degree of anatomical damage may predict failed non-operative management. It is concluded that non-operative management is a good choice for most patients who can be stabilized haemodynamically and that children show a particular tendency to successful non-operative management. It is also concluded that angiography and embolisation are powerful adjuncts to non-operative management, in particular in the case of high-grade splenic injury.

MeSH