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Ther Umsch. 2013 Mar;70(3):177-84. doi: 10.1024/0040-5930/a000387.

[Traumatic splenic injury].

[Article in German]

Author information

1
Departement Chirurgie, Kantonsspital Graubünden, Chur. thomas.mueller@ksgr.ch

Abstract

While the management of penetrating as well as blunt splenic injury with hemodynamic instability is straightforward with immediate operative intervention, the management of blunt splenic injury with stable hemodynamic underwent a paradigm shift over the last 3 decades. Nowadays 80 per cent of hemodynamically stable patients with blunt splenic injury can successfully be treated with a non-operative management. Angiographic embolization in selected cases is generally reported to increase the success rates of non-operative management currently approaching 95 per cent.

PMID:
23454565
DOI:
10.1024/0040-5930/a000387
[Indexed for MEDLINE]
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