Current Management of Splenic Injuries: Who Needs a Splenectomy?

AbstractPurpose of ReviewThis is a review of the current indications for splenectomy for trauma.Recent FindingsAs the role of interventional radiology and the acceptance of non-operative strategies gain wider acceptance, the role of splenectomy is decreasing. There continues to be questions on how far the role of non-operative management can be pushed and at what cost. Alternatively, that risk must be weighed against the long and short term consequences of a splenectomy.SummaryEmergent surgical exploration of the abdomen is indicated for hemodynamically unstable trauma patients and patients with peritonitis from an associated injury. All other patients can be considered for non-operative management with various adjuncts to maximize effectiveness.
Source: Current Surgery Reports - Category: Surgery Source Type: research