Outcome of Management of Splenic Injury In Aswan University Hospital | ||
| Aswan University Medical Journal | ||
| Volume 2, Issue 2, December 2022, Pages 186-201 PDF (971.45 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2022.167687.1026 | ||
| Authors | ||
| Mahmoud Rabeea Ahmed Mohamed* 1; mansor mohammed kabbash2; Ibrahem El-Ziat3; Khaled Abdeen Talha4 | ||
| 1Department of General Surgery, Faculty of Medicine, Aswan University - Egypt | ||
| 2General Surgery department, Faculty of Medicine; Aswan University,Aswan, Egypt | ||
| 3General Surgery, Faculty of Medicine - Aswan University | ||
| 4Department Oncosurgery, Faculty of Medicine - Aswan University | ||
| Abstract | ||
| Background: Spleen is one of the most injured organs among blunt abdominal trauma. spleen injuries were representing 45% of the total blunt abdominal injuries that threaten life. Non-operative management (NOM) proved to be one of the most secure techniques in the management of spleen injuries. Objectives: To evaluate the outcome of operative and non-operative management of blunt abdominal trauma with splenic injury at Aswan University Hospital. Patients and methods: In this prospective non-randomized controlled study, 42 patients with blunt splenic injury were admitted to the emergency unit during the period from December 2020 to December 2021. Result: Our findings revealed that there was a non-significant difference between study groups regarding gender , age, mode of trauma and Total leukocyte count (TLC) (P >/= 0.05). but There was a statistically significant difference between study groups regarding imaging investigations in ultrasound (U/S) and complete blood count in hematocrit and hemoglobin (P <0.05) and CT with a contrast among Grades 1, 2,3, and 4 of spleen injuries, systolic and diastolic blood pressure, and Pulse rate (P < 0.001). Conclusion: For spleen injuries, non-surgical management is the most secure because of fewer complications, preserving spleen functions, and reducing blood transfusion compared to surgical management. | ||
| Keywords | ||
| Blunt trauma; Evaluation; Management; Outcome; Splenic injury | ||
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