Trattamenti conservativi dei traumi splenici


COD: 553-558 Categorie: ,

Stefano Miniello, Michele Nacchiero, Mario Giosuè Balzanelli*, Graziana Cristallo, Margherita Cavallo, Germana Lissidini

Ann. Ital. Chir., 2005; 76: 553-557

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Authors hope for a growing diffusion of conservative treatments for lien’s lesions, to avoid the asplenia syndrome, and
the unfavourable implications derive from, above all immunodepression that increases septic risk.
They report their experience about conservative choices for spleen’s traumatic injures and emphasize the absolute need of
select the appropriate patients for those procedure, that must require: haemodynamics stability; not geriatric age; type I
and II, according to Buntain’s classifications, ien’s lesions, and attentive selection of the patients carriers of type III lesions;
absence of preceding spleen’s injures, opportunity of monitor patients, in immediate postoperative, in intensive care units.
Authors suggest that one of the essential condition for the correct selection and achievement of conservative treatments of
traumatic lien’s injures, is the team work of the surgeon, of the anesthesiologist, of the radiologist.
Conclude maintain that, conservative procedure for lien’s lesions, must find a growing diffusion, but mention that is
appropriate to not extend those treatments indications over the encoded ones.