MAIN CONTROVERSIES IN THE NONOPERATIVE MANAGEMENT OF BLUNT SPLENIC INJURIES.
| Title: | MAIN CONTROVERSIES IN THE NONOPERATIVE MANAGEMENT OF BLUNT SPLENIC INJURIES. |
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| Authors: | Carlotto JR; School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil.; Lopes-Filho Gde J; School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil.; Colleoni-Neto R; School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil. |
| Source: | Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2016 Mar; Vol. 29 (1), pp. 60-4. |
| Publication Type: | Journal Article; Review |
| Language: | English; Portuguese |
| Journal Info: | Publisher: Colégio Brasileiro de Cirurgia Digestiva Country of Publication: Brazil NLM ID: 9100283 Publication Model: Print Cited Medium: Internet ISSN: 2317-6326 (Electronic) Linking ISSN: 01026720 NLM ISO Abbreviation: Arq Bras Cir Dig Subsets: MEDLINE |
| Imprint Name(s): | Publication: São Paulo, Brasil : Colégio Brasileiro de Cirurgia Digestiva; Original Publication: São Paulo, Brasil : Disciplina de Cirurgia do Aparelho Digestivo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
| MeSH Terms: | Spleen/*injuries ; Wounds, Nonpenetrating/*therapy; Decision Trees ; Humans ; Practice Guidelines as Topic |
| Abstract: | 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 English and Portuguese, 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. |
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| Entry Date(s): | Date Created: 20160428 Date Completed: 20170309 Latest Revision: 20220330 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC4851155 |
| DOI: | 10.1590/0102-6720201600010016 |
| PMID: | 27120744 |
| Database: | MEDLINE |
Journal Article; Review