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https://doi.org/10.14300/mnnc.2017.12072

Organ -preserving trends in the treatment of blunt splenic trauma in children

[Surgery]
Anna Shapkina;

The results of conservative and operative treatment of 128 children with the blunt splenic trauma (BST) during last 21 years are presented. All patients have been examined and treated during the period from 1996 to 2016 in the Regional Children’s Hospital, Vladivostok, Russia. This period was divided into stages depending on the beginning of use of various diagnostic methods and getting more experience in their use. In the absence of CT authors have developed the algorithm of tactics in BST, including ultrasonography (US) and laparoscopy (LS). The ratio of splenectomies was more than 20 % initially and decreased to less level than 5 % of all cases.

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Keywords: blunt splenic trauma, children, conservative treatment