A Study of management for Splenic Injuries

Park,  Myung Kyu; Park,  Kyung Hwan

J Korean Soc Emerg Med > Volume 8(2); 1997 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 1997;8(2): 234-241.

A Study of management for Splenic Injuries

ABSTRACT

Due to its anatomical position and histological characteristics of thin capsule and low abundance of connective tissue, the spleen is a prime target for damage from blunt injury or during operation. Until recently, total splenectomy has been considered as safe operation for splenic injuries. But now, splenic salvage procedure or non operative treatment have become the standard care with knowledge for immunologic function of spleen, development of radiologic examination such as ultrasonography and abdominal CT, and report about high risk of mortality after splenectomy. Authors have experienced 27 patients with splenic injury admitted to the emergency department during 5 years 4 months period from 1991 to 1996. Among them, 10 patients were received total splenectomy, 2 patients partial splenectomy, 8 patients splenorrhaphy, one patients hemostasis, and 6 patients underwent nonoperative management.