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Retrospective cohort study of paediatric splenic injuries at a major adult trauma centre in South Africa identifies areas of success and improvement
Author(s) -
Conradie Bernike,
Kong Victor,
Cheung Cynthia,
Varghese Chris,
Elsabagh Abdallah,
Rajaretnam Nigel,
Bruce John,
Clarke Damian,
Laing Grant,
Bekker Wanda
Publication year - 2021
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.16748
Subject(s) - medicine , laparotomy , splenectomy , retrospective cohort study , major trauma , intensive care unit , cohort , blunt , surgery , general surgery , intensive care medicine , spleen
This study reviews our experience with paediatric splenic trauma in a major trauma centre in South Africa. We reviewed the management and outcomes of 66 paediatric patients and concluded that selective non‐operative management of paediatric splenic trauma can be undertaken successfully in a middle‐income country such as South Africa. The grade of splenic injury itself is rarely the sole determinant of operative or non‐operative treatment and clinical outcome.