The management of splenic trauma in a trauma system.

Abstract

Large teaching centers have reported splenic salvage rates of 40% to 50% in adults after splenic trauma. It is unknown whether similar salvage rates can be achieved safely in community trauma centers with a lower volume of patients and less experience. Between August 1984 and August 1988, 117 patients with splenic injury were treated at a level I center and 311 were treated at four level II centers. Splenectomy was performed in 252 patients (59%), splenorrhaphy was performed in 160 patients (37%), and 16 patients (4%) were observed. While the splenic salvage rate was higher at the level I center (50% vs 38%), selective splenorrhaphy was successful in the level II centers where the volume of splenic injury was lower (15 to 25 cases per year).

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@article{Molin1990TheMO, title={The management of splenic trauma in a trauma system.}, author={M R Molin and Steven R. Shackford}, journal={Archives of surgery}, year={1990}, volume={125 7}, pages={840-3} }