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Vive Revista de Salud
Print version ISSN 2664-3243
Abstract
PASTOR ROMERO, Sebastián Alejandro et al. Splenic trauma: diagnosis, classification and treatment. A review of the current literature. Vive Rev. Salud [online]. 2021, vol.4, n.11, pp.266-274. ISSN 2664-3243. https://doi.org/10.33996/revistavive.v4i11.100.
The spleen is the organ that is most frequently injured in blunt abdominal trauma, occurring in 30 to 50% of cases, mainly due to its fragility and location, its treatment has been in constant change over time, today the conservative management is more widely used than interventionist, considering above all the greater risk of mortality and the physiological conditions after splenectomy, mainly in children and adolescents.
Objective
. To carry out a current review of the diagnosis, classification and treatment of splenic trauma.
Methodology
. A bibliographic review was carried out including the descriptors related to splenic trauma and its treatment.
Results
.The identification of splenic trauma is of vital importance for the survival of the patient, the diagnosis can be made by imaging studies, FAST ultrasound or tomography depending on the hemodynamic status of the patient, the classification depends on the anatomical characteristics of the lesions and guides the appropriate treatment.
Conclusions
. Conservative treatment is currently recommended for lesions I-III; the major stages (IV and V) or any grade whit hemodynamic compromise imply interventional or surgical treatment, there is no significant difference between the use of open versus laparoscopic technique.
Keywords : Blunt abdominal trauma; splenic trauma; spleen; treatment.
