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Eighty-five cases of splenic trauma that were treated surgically from 1981 to 1983 were reviewed to define the exact role of splenorrhaphy. There were 73 male and 12 female patients with a mean age of 34 years. The mechanism of injury was blunt trauma in 51 and penetrating trauma in 34. The incidence of associated intraabdominal injury was 31 per cent and 79 per cent in blunt and penetrating trauma, respectively. Splenectomy was performed in 43 (51%) and splenorrhaphy in 42 (49%). Splenorrhaphy was performed in 19 (37%) who had blunt trauma and 23 (67%) who had penetrating trauma (P less than 0.01). Overall six patients died, three in the splenorrhaphy group (7.1%). Only one patient who had splenorrhaphy required reoperation for splenic hemorrhage. The authors conclude that about 50 per cent of all injured spleens in the patient population studied can be salvaged during laparotomy for splenic trauma, the splenic salvage rate is higher in penetrating trauma, and splenorrhaphy is a safe operation.
D J Kreis, and
N Montero, and
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R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
September 1979,
The Journal of trauma,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
May 1982,
Southern medical journal,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
March 2023,
The American surgeon,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
July 1981,
The Journal of trauma,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
October 1986,
The Australian and New Zealand journal of surgery,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
March 2022,
The American surgeon,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
November 2023,
ANZ journal of surgery,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
June 1987,
Journal of the Royal College of Surgeons of Edinburgh,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
October 1986,
Journal of the Royal College of Surgeons of Edinburgh,
D J Kreis, and
N Montero, and
M Saltz, and
R Saltz, and
M Echenique, and
G Plasencia, and
R Santiesteban, and
G A Gomez, and
J J Vopal, and
J M Civetta
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