2023
Management and Outcome of High-Grade Hepatic and Splenic Injuries
Presser E, Sznol J, Schuster K. Management and Outcome of High-Grade Hepatic and Splenic Injuries. Current Surgery Reports 2023, 11: 55-63. DOI: 10.1007/s40137-023-00344-1.Peer-Reviewed Original ResearchSplenic injuryOperative interventionUnstable patientsTrauma grade IVHigh-grade injuriesModality of choiceTransient respondersActive bleedingGrade injuriesSerial examsStable patientsSignificant morbidityPermissive hypotensionEndovascular interventionPrehospital interventionsRadiological studiesTrauma bayBlood productsGrade IVPatientsSecondary surveyInjuryExact indicationsClass IIIActive signs
2012
Selective nonoperative management of blunt splenic injury
Stassen NA, Bhullar I, Cheng JD, Crandall ML, Friese RS, Guillamondegui OD, Jawa RS, Maung AA, Rohs TJ, Sangosanya A, Schuster KM, Seamon MJ, Tchorz KM, Zarzuar BL, Kerwin AJ. Selective nonoperative management of blunt splenic injury. Journal Of Trauma And Acute Care Surgery 2012, 73: s294-s300. PMID: 23114484, DOI: 10.1097/ta.0b013e3182702afc.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryPractice management guidelinesSplenic injuryNonoperative managementSelective nonoperative managementOperative interventionClinical statusManagement guidelinesEmergent operative interventionHealth MEDLINE databaseLower overall morbiditySerial clinical evaluationsBlunt abdominal traumaGrade of injuryNon-operative managementPatient's clinical statusAppropriate patient populationSurgery of TraumaEnglish-language citationsAbdominal traumaExpectant managementHemodynamic instabilityOverall morbidityUrgent laparotomyAdjunctive therapy