More on the Modern Approach to Diagnostics and Treatment of Spleen Trauma in Children

Today, the problem of spleen injury in children still appears relevant. The choice of diagnostics and treatment tactics at the present stage is far from being unified. The priority direction is the organ-preserving approach, which is possible and justified in children, which significantly reduces...

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Bibliographic Details
Published in:	Neotložnaâ Medicinskaâ Pomoŝʹ Vol. 10; no. 1; pp. 168 - 173
Main Authors:	Rumyantseva, G. N., Kazakov, A. N., Volkov, S. I., Yusufov, A. A., Brevdo, Y. F., Portenko, Y. G.
Format:	Journal Article
Language:	English
Published:	Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 20-04-2021
Subjects:	children echography organ-preserving tactics spleen injury
Online Access:	Get full text
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Summary:	Today, the problem of spleen injury in children still appears relevant. The choice of diagnostics and treatment tactics at the present stage is far from being unified. The priority direction is the organ-preserving approach, which is possible and justified in children, which significantly reduces surgical aggression and prevents the likelihood of negative consequences of splenectomy. The choice of the optimal diagnostic method and determination of safe treatment tactics was the purpose of our study. Thirty-nine injured children were treated in 2007–2019. The predominant cause of spleen injury was fall from height (64.1%). Echography was the main diagnostic method, which was performed around the clock. Splenectomy was performed in 7 patients (17.9%), in 32 children (82.1%) the organ was preserved. One case (2.6%) was fatal. The analysis of our own results showed that the widespread use of echography, particularly by surgeons, is necessary in the emergency service and greatly simplifies the work. The developed local protocol for diagnosis and treatment is simple and accessible, since it is based on the interpretation of the main criteria, such as systemic hemodynamics and hemoperitoneum. Continued bleeding reasons diagnostic laparoscopy. With unstable hemodynamics, large hemoperitoneum, laparotomy is indicated.
ISSN:	2223-9022 2541-8017
DOI:	10.23934/2223-9022-2021-10-1-168-173