Splenic Injury Clinical Trial
Official title:
Treatment of Splenic Trauma: a Retrospective Cohort Study
In blunt trauma, the spleen is most frequent injured organ in the abdomen and the most
frequent source of bleeding in the abdomen.
Historically, splenectomy was the treatment of choice for splenic bleeding. For
exsanguinating patients, open splenectomy is still the proper choice of treatment if the
spleen is a significant source of bleeding. However, for hemodynamic stable patients with
splenic injury, non-operative management (NOM) is an alternative, assuming they have no
other indication for surgery (peritonitis).
Non-operative management includes observation and/or splenic artery embolisation (SAE), but
the indications for observation and SAE varies between trauma centers. The greatest
advantage of NOM is the preservation of splenic function.
In the investigators hospital splenic artery embolisation was introduced in 2007. The
investigators want to describe the treatment of splenic injuries in their hospital, to see
if the number of splenectomies has been recduced after 2007, and to see if SAE has also been
used in transferred trauma patients.
n/a
Observational Model: Cohort, Time Perspective: Retrospective