2010
Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rate
1998
Improved Success in Nonoperative Management of Blunt Splenic Injuries
Davis K, Fabian T, Croce M, Gavant M, Flick P, Minard G, Kudsk K, Pritchard F. Improved Success in Nonoperative Management of Blunt Splenic Injuries. Journal Of Trauma And Acute Care Surgery 1998, 44: 1008-1015.. PMID: 9637156, DOI: 10.1097/00005373-199806000-00013.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreSplenic injury gradeBlunt splenic injuryBlunt splenic traumaNonoperative managementSplenic artery pseudoaneurysmTomographic scanSplenic injuryArtery pseudoaneurysmSplenic traumaTrauma splenic injury gradeFollow-up computed tomographyEvidence of pseudoaneurysmNonoperative failure rateSuccessful nonoperative managementPredictors of failureOutcome of managementContrast blushEmbolization attemptsHemodynamic instabilityInjury gradeConsecutive patientsUrgent operationVascular blushMean age