RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.983 |
Resumo: | Introduction: The treatment of splenic trauma has undergone several changes in recent years. Mortality occurs due to hypovolemic shock, which is sometimes due to delay in treatment. Recently, attempts have been made to preserve the organ being splenectomy preferred for patients with failure of conservative approach or with haemodynamic instability at presentation. Radiofrequency is a modality that is gaining importance in the treatment of splenic trauma. This manuscript presents the case of a patient, with splenic trauma, submitted to splenic haemostasis by radiofrequency, with organ preservation. Case report: Young woman, victim of a road accident, which resulted in thoracic and abdominal trauma (splenic – grade IV American Association for Surgery Trauma). Initially, given the patient haemodynamic stability, an expectant attitude was chosen. However, due to clinical and analytical aggravation, it was necessary to proceed to a surgical intervention. Splenic haemostasis was performed using radiofrequency. Discussion / Conclusion: When selecting the approach to be followed in splenic trauma, it is important to consider the hemodynamic stability of the patient, the results of complementary diagnostic tests and the resources available. Organ preservation is currently the gold standard, and several therapeutic modalities are available that allow this objective. Radiofrequency has an already known haemostatic effect and although it is not yet widely used in the management of splenic trauma, it has been shown to be safe and effective, facilitating spleen preservation. |
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RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMAHEMOSTASE POR RADIOFREQUÊNCIA COMO OPÇÃO PARA PRESERVAÇÃO DE ÓRGÃOS NO TRAUMA ESPLÊNICOIntroduction: The treatment of splenic trauma has undergone several changes in recent years. Mortality occurs due to hypovolemic shock, which is sometimes due to delay in treatment. Recently, attempts have been made to preserve the organ being splenectomy preferred for patients with failure of conservative approach or with haemodynamic instability at presentation. Radiofrequency is a modality that is gaining importance in the treatment of splenic trauma. This manuscript presents the case of a patient, with splenic trauma, submitted to splenic haemostasis by radiofrequency, with organ preservation. Case report: Young woman, victim of a road accident, which resulted in thoracic and abdominal trauma (splenic – grade IV American Association for Surgery Trauma). Initially, given the patient haemodynamic stability, an expectant attitude was chosen. However, due to clinical and analytical aggravation, it was necessary to proceed to a surgical intervention. Splenic haemostasis was performed using radiofrequency. Discussion / Conclusion: When selecting the approach to be followed in splenic trauma, it is important to consider the hemodynamic stability of the patient, the results of complementary diagnostic tests and the resources available. Organ preservation is currently the gold standard, and several therapeutic modalities are available that allow this objective. Radiofrequency has an already known haemostatic effect and although it is not yet widely used in the management of splenic trauma, it has been shown to be safe and effective, facilitating spleen preservation.Introdução: O tratamento do trauma esplênico sofreu, nos últimos anos diversas modificações. A mortalidade devido ao choque hipovolémico, decorre muitas vezes devido ao atraso no tratamento. Recentemente, têm sido feitas tentativas de preservação do órgão, sendo a esplenectomia indicada para doentes em que a abordagem conservadora não é uma opção considerável ou com instabilidade hemodinâmica. A radiofrequência é uma opção terapêutica que está a ganhar importância no tratamento do trauma esplênico. Este manuscrito apresenta um doente, com trauma esplênico, submetido a hemóstase esplênica por radiofrequência, o que possibilitou a preservação do órgão. Descrição do caso: Mulher jovem, vítima de acidente de viação, resultando em trauma torácico e abdominal (lesão esplénica – grau IV segundo a classificação da American Association for Surgery Trauma). Inicialmente, dada a estabilidade hemodinâmica do doente, optou-se por uma atitude conservadora. No entanto, devido ao agravamento clínico e analítico, foi necessário realizar intervenção cirúrgica para controlo da hemorragia. A hemostase esplénica foi realizada com recurso à radiofrequência. Discussão/Conclusão: Ao selecionar a conduta a ser seguida no trauma esplénico, é importante avaliar a estabilidade hemodinâmica do doente, os resultados dos exames auxiliares de diagnóstico e os recursos disponíveis. A preservação do órgão é atualmente a opção a considerar, estando atualmente disponíveis várias modalidades terapêuticas que permitem esse objetivo. A radiofrequência tem um efeito hemostático já conhecido e, embora ainda não seja amplamente utilizada no tratamento do trauma esplênico, tem se mostrado segura e eficaz, facilitando a preservação do baço.Sociedade Portuguesa de Cirurgia2023-06-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.983https://doi.org/10.34635/rpc.983Revista Portuguesa de Cirurgia; No 55 (2023): June; 55-59Revista Portuguesa de Cirurgia; No 55 (2023): June; 55-592183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/983https://revista.spcir.com/index.php/spcir/article/view/983/681Copyright (c) 2023 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessCAMARNEIRO, RitaGOMES, António PedroNUNES, Vítor2024-03-14T22:05:39Zoai:revista.spcir.com:article/983Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:56.827704Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA HEMOSTASE POR RADIOFREQUÊNCIA COMO OPÇÃO PARA PRESERVAÇÃO DE ÓRGÃOS NO TRAUMA ESPLÊNICO |
title |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
spellingShingle |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA CAMARNEIRO, Rita |
title_short |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
title_full |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
title_fullStr |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
title_full_unstemmed |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
title_sort |
RADIOFREQUENCY HAEMOSTASIS AS AN OPTION FOR ORGAN PRESERVATION IN SPLENIC TRAUMA |
author |
CAMARNEIRO, Rita |
author_facet |
CAMARNEIRO, Rita GOMES, António Pedro NUNES, Vítor |
author_role |
author |
author2 |
GOMES, António Pedro NUNES, Vítor |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
CAMARNEIRO, Rita GOMES, António Pedro NUNES, Vítor |
description |
Introduction: The treatment of splenic trauma has undergone several changes in recent years. Mortality occurs due to hypovolemic shock, which is sometimes due to delay in treatment. Recently, attempts have been made to preserve the organ being splenectomy preferred for patients with failure of conservative approach or with haemodynamic instability at presentation. Radiofrequency is a modality that is gaining importance in the treatment of splenic trauma. This manuscript presents the case of a patient, with splenic trauma, submitted to splenic haemostasis by radiofrequency, with organ preservation. Case report: Young woman, victim of a road accident, which resulted in thoracic and abdominal trauma (splenic – grade IV American Association for Surgery Trauma). Initially, given the patient haemodynamic stability, an expectant attitude was chosen. However, due to clinical and analytical aggravation, it was necessary to proceed to a surgical intervention. Splenic haemostasis was performed using radiofrequency. Discussion / Conclusion: When selecting the approach to be followed in splenic trauma, it is important to consider the hemodynamic stability of the patient, the results of complementary diagnostic tests and the resources available. Organ preservation is currently the gold standard, and several therapeutic modalities are available that allow this objective. Radiofrequency has an already known haemostatic effect and although it is not yet widely used in the management of splenic trauma, it has been shown to be safe and effective, facilitating spleen preservation. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.983 https://doi.org/10.34635/rpc.983 |
url |
https://doi.org/10.34635/rpc.983 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/983 https://revista.spcir.com/index.php/spcir/article/view/983/681 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 55 (2023): June; 55-59 Revista Portuguesa de Cirurgia; No 55 (2023): June; 55-59 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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