Surgical Repair vs Splenectomy in Patients With Severe Traumatic Spleen Injuries.

ABSTRACT:

Importance

The spleen is often removed in laparotomy after traumatic abdominal injury, with little effort made to preserve the spleen.

Objective

To explore the association of surgical management (splenic repair vs splenectomy) with outcomes in patients with traumatic splenic injuries undergoing laparotomy and to determine whether splenic repair is associated with lower mortality compared with splenectomy.

Design, setting, and participants

This is a trauma registry-based cohort study using the American College of Surgeons Trauma Quality Improvement Program database from January 2013 to December 2019. Participants included adult patients with severe splenic injuries (Abbreviated Injury Scale [AIS] grades 3-5) undergoing laparotomy after traumatic injury within 6 hours o

SUBMITTER: Jakob DA 

PROVIDER: S-EPMC11297384 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature