Main controversies in the nonoperative management of blunt splenic injuries

• Autor(a) principal: Marcante Carlotto, Jorge Roberto [UNIFESP]
• Data de Publicação: 2016
• Outros Autores: Lopes-Filho, Gaspar de Jesus [UNIFESP], Colleoni-Neto, Ramiro [UNIFESP]
• Tipo de documento: Artigo (review)
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/0102-6720201600010016; http://repositorio.unifesp.br/handle/11600/49349
• topic: Spleen; Therapeutics; Blunt Trauma; Abdomen; HemorrhageAbdominal Organ Injuries; Eastern Association; Artery Embolization; Member Practices; Success Rate; Long Enough; Trauma; Outcomes; Failure; Surgery

Introduction: The nonoperative management of traumatic spleen injuries is the modality of choice in patients with blunt abdominal trauma and hemodynamic stability. However, there are still questions about the treatment indication in some groups of patients, as well as its follow-up. Aim: Update knowledge about the spleen injury. Method: Was performed review of the literature on the nonoperative management of blunt injuries of the spleen in databases: Cochrane Library, Medline and SciELO. Were evaluated articles in eng and por, between 1955 and 2014, using the headings "splenic injury, nonoperative management and blunt abdominal trauma". Results: Were selected 35 articles. Most of them were recommendation grade B and C. Conclusion: The spleen traumatic injuries are frequent and its nonoperative management is a worldwide trend. The available literature does not explain all aspects on treatment. The authors developed a systematization of care based on the best available scientific evidence to better treat this condition.