Medizinische Universität Graz - Research portal
Selected Publication:
Uranüs, S; Pfeifer, J.
Nonoperative treatment of blunt splenic injury.
World J Surg. 2001; 25(11):1405-1407
Doi: 10.1007%2Fs00268-001-0141-1
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- Leading authors Med Uni Graz
- Uranüs Selman
- Co-authors Med Uni Graz
- Pfeifer Johann
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- Abstract:
- A spleen-preserving program was implemented at the author's institution during the mid-1980s using a five-part injury-grading scale that is similar and comparable to the AAST classification. Since that time, all patients with splenic injuries admitted to the Department of Surgery at the Karl-Franzens University Hospital in Graz, a level I trauma center, have been prospectively evaluated with respect to splenic preservation. Analysis of the relation of the severity of organ injury to the use of nonoperative management showed that degree I or II injuries were treated nonoperatively, whereas degree III and IV injuries were usually treated with adhesives, partial resection, or mesh splenorrhaphy; only degree V injuries almost always required splenectomy. With increasing experience in nonoperative management of splenic injuries the initial criteria have become less rigid, and there is now a tendency to attempt it in patients who formerly would have undergone surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Clinical Protocols -
- Diagnosis, Differential -
- Humans -
- Spleen - injuries
- Tomography, X-Ray Computed - injuries
- Trauma Severity Indices - injuries
- Treatment Outcome - injuries
- Wounds, Nonpenetrating - radiography