Management of Intraoperative Splenic Injury

Autor: Parag Bhanot, Stephen R.T. Evans, Aziz Merchant
Rok vydání: 2008
Předmět:
Zdroj: Operative Techniques in General Surgery. 10:4-10
ISSN: 1524-153X
DOI: 10.1053/j.optechgensurg.2008.04.003
Popis: Intraoperativesplenicinjuryisreportedtooccurinapproximately 0.01% of open laparotomies. Its incidence in reoperative surgery is much more significant and approaches 10%. The incremental morbidity associated with splenic injury is secondary to increased blood loss and operative time. In addition, splenectomy for a high-grade injury requiring segmental or complete splenectomy introduces a second set of potential complications such as infection and sepsis. Although there are a number of primary indications for splenectomy, up to 10% of splenectomies performed are secondary to an iatrogenic injury. Management of varying degrees of splenic injury requires prompt and appropriate decision making to ensure minimal additional morbidity and successful outcomes.
Databáze: OpenAIRE