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Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Article scientifique 2017 Anglais

Résumé

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.

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Coccolini, F., Montori, G., Catena, F., Kluger, Y., Biffl, W., Moore, E., Reva, V., Bing, C., Bala, M., Fugazzola, P., Bahouth, H., Marzi, İ., Velmahos, G., Ivatury, R., Søreide, K., Hörer, T., Broek, R., Pereira, B., Fraga, G., Inaba, K., Kashuk, J., Parry, N., Masiakos, P., Mylonas, K., Kirkpatrick, A., Abu‐Zidan, F., Gomes, C., Benatti, S., Naidoo, N., Salvetti, F., Maccatrozzo, S., Agnoletti, V., Gamberini, E., Solaini, L., Costanzo, A., Celotti, A., Tomasoni, M., Khokha, V., Arvieux, C., Napolitano, L., Handolin, L., Pisano, M., Magnone, S., Spain, D., Moya, M., Davis, K., Angelis, N., Leppäniemi, A., Ferrada, P., Latifi, R., Navarro, D., Otomo, Y., Coimbra, R., Maier, R., Moore, F., Rizoli, S., Sakakushev, B., Galante, J., Chiara, O., Cimbanassi, S., Chichom‐Mefire, A., Weber, D., Ceresoli, M., Peitzman, A., Wehlie, L., Sartelli, M., Saverio, S., Ansaloni, L. (2017). Splenic trauma: WSES classification and guidelines for adult and pediatric patients. https://doi.org/10.1186/s13017-017-0151-4

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Auteur(s)

Federico Coccolini Giulia Montori Fausto Catena Yoram Kluger Walter Biffl Ernest E. Moore Viktor Reva Camilla Bing Miklosh Bala Paola Fugazzola Hany Bahouth İngo Marzi George C. Velmahos Rao R. Ivatury Kjetil Søreide Tal M. Hörer Richard P. G. ten Broek Bruno M. Pereira Gustavo P. Fraga Kenji Inaba Joseph Kashuk Neil Parry Peter T. Masiakos Konstantinos S. Mylonas Andrew W. Kirkpatrick Fikri M. Abu‐Zidan Carlos Augusto Gomes Simone Vasilij Benatti Noel Naidoo Francesco Salvetti Stefano Maccatrozzo Vanni Agnoletti Emiliano Gamberini Leonardo Solaini Antonio Costanzo Andrea Celotti Matteo Tomasoni Vladimir Khokha C. Arvieux Lena M. Napolitano Lauri Handolin Michele Pisano Stefano Magnone David A. Spain Marc de Moya Kimberly A. Davis Nicola De Angelis Ari Leppäniemi Paula Ferrada Rifat Latifi David Costa Navarro Yashuiro Otomo Raúl Coimbra Ronald V. Maier Frederick A. Moore Sandro Rizoli Boris Sakakushev Joseph M. Galante Osvaldo Chiara Stefania Cimbanassi Alain Chichom‐Mefire Dieter Weber Marco Ceresoli Andrew B. Peitzman Liban Wehlie Massimo Sartelli Salomone Di Saverio Luca Ansaloni

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