A STUDY ON COMPARING OPERATIVE AND NONOPERATIVE MANAGEMENT OF SPLENIC INJURY IN A TERTIARY CENTER

Dr G Venkata Ramanaiah, Dr K Manohar, Dr Sindhuja Balaraj

Abstract


INTRODUCTION

Spleen is the most commonly injured organ in blunt abdominal trauma. Once the diagnosis was established in the past, splenectomy was the only option available. Methods and results

The study is a hospital based observational study. All the cases admitted in the emergency department and surgical wards which satisfy the inclusion criteria were included in the study. From December 2016 to 2017, 30 cases with only splenic injuries were studied who got admitted to surgical units in Sri Venkateswara Ramanarayan Ruia hospital, Tirupathi. 63.33% of patients were managed non- operatively successfully. Rest 36.66% cases were taken up for surgery due to instability in their hemodynamic status.

CONCLUSION

CECT abdomen is the investigation of choice in patients with splenic injuries. Grade of injury, age of the patient are no more the criteria for not preferring NOM.NOM is becoming the gold standard treatment for BSI.

 


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References


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