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RUPTURED SPLEEN IN THE ADULT: AN ACCOUNT OF 205 CASES WITH PARTICULAR REFERENCE TO NON‐OPERATIVE MANAGEMENT
Author(s) -
Group PapuaNewGuineaSplenicInjuryStudy
Publication year - 1987
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1987.tb01419.x
Subject(s) - medicine , splenectomy , surgery , general surgery , spleen
A series of 205 ruptured adult spleens, half of them due to personal assault, has been collected from several hospitals. In some of these cases a trial of non‐operative management has become standard practice unless other abdominal injuries are suspected. One hundred and thirty‐seven cases were managed this way initially, successfully so in 80%. Splenectomy was performed in 70 patients with eight deaths; three of them in the 27 instances where non‐operative management was said to have failed. None of these eight deaths was due to operative delay.