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2001, Number 1

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Trauma 2001; 4 (1)

Conservative surgical treatment in spleen traumatism

Retana MFJ

Language: Spanish
References: 24
Page: 14-21
PDF size: 52.04 Kb.


ABSTRACT

We present a prospective and longitudinal study performed March to December 1982, as a precedent of several attemps carried out in medical services of Welfare Secretary of Mexico Federal District which have motivated new studies pointing at reducing traumatized spleen resection trend. We propose different tectonics to allow a proper recuperation and better life expectations to patients affected by a frequent an high-morbidity/mortality pathology. A casuistry of 16 cases from patients traumatized presenting spelling traumatize was analyzed; 9 of them with close trauma and 7 with penetrating traumatize. From these seven patients, 5 were affected by knife hurts and the other two ones by gun shooting, and were attended in medical services of the Federal District. Their ages ranged from 5 to 37 years, with a prevailing number of male individuals in a 7/2 relation over female patients, and with different magnitude lesions, which were treated by exploring laparotomy and several surgical technics to stop hemorrhage. Among them it can be mentioned: simple suture, epiploon patch suture and spleen artery selective ligature, keeping the spleen in 100% of the cases. There is only one mention about a new surgery through bleeding obtained by a canalization, twelve hours after and due to a left kidney lesion, which had not required a previous suture. Neither complications due to this procedure nor mortality in this series was reported and it is considered as a useful alternative in surgical treatment of spleen traumatism.


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