Dulani Mendis, Nariman D. Karanjia
CaseRepClinPractRev 2007; 8:76-79
Background: We report on a series of six cases presenting with splenic trauma; managed appropriately in senior hands with splenic preserving surgical techniques. The radiological grading of injury can be correlated as a predictor of the probability of surgery versus conservative management.
Both the radiological grading and grading made at laparotomy is further discussed as well as the benefits of splenic preservation, the relevant anatomy and the operative techniques involved.
Case Report: Our series of cases underwent laparotomy upon developing haemodynamic instability. The operative technique chosen correlates appropriately with the grade of injury found at laparotomy, radiological grading and the seniority of operating surgeon.
Conclusions: In experienced hands and appropriate circumstances splenic preserving surgery is an effective surgical option in the management of splenic trauma.
Keywords: partial splenectomy, splenic repair, abdominal trauma