Management of splenic injuries in a regional setting: a single centre retrospective review

Graham, Karissa, Narendra, Aaditya, and Pretorius, Casper Francois (2013) Management of splenic injuries in a regional setting: a single centre retrospective review. In: Posters from the 5th General Surgeons Australia Annual Scientific Meeting. From: GSA ASM 2013: 5th General Surgeons Australia Annual Scientific Meeting, 27-29 September 2013, Sydney, NSW, Australia.

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Abstract

The spleen is one of the most commonly injured solid organs in the intra-abdominal cavity following blunt trauma and the management of splenic injury continues to evolve. Splenectomies were initially introduced in the 1930's in order to decrease the mortality rate that was associated with non-operative management (NOM). With the advances in medical knowledge, including a greater understanding of the anatomy of the spleen, better imaging, embolization techniques for haemorrhage control, and treatment of splenic artery pseudoaneurysms, NOM has increased success rates. Recent studies suggest that conservative management is now attempted in 60-80% of patients with a splenic injury with a success rate of 85-94%. There is a lack of recent data on how a regional hospital, without access to interventional radiology, manages splenic injuries in Australia. The aim of this study is to look at the outcomes of management of splenic injury in a regional hospital in Queensland.

Item ID: 34662
Item Type: Conference Item (Poster)
Keywords: spleen, trauma, retrospective review
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Date Deposited: 17 Sep 2014 04:45
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920106 Endocrine Organs and Diseases (excl. Diabetes) @ 50%
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