Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Use of Angioembolization to Replace Operative Management for Blunt Splenic Injury

비장둔상의 수술적 치료를 대체하는 혈관색전술의 유용

  • Song, Yu-Jeong (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Kim, Ka-Jeong (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Jeong, Sang-Ho (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Jeong, Chi-Young (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Ju, Young-Tae (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Jung, Eun-Jung (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Lee, Young-Joon (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Choi, Sang-Kyung (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Ha, Woo-Song (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Park, Soon-Tae (Department of Surgery of Gyeongsang National University School of Medicine) ;
  • Hong, Soon-Chan (Department of Surgery of Gyeongsang National University School of Medicine)
  • 송유정 (경상대학교 의학전문대학원 외과학교실) ;
  • 김가정 (경상대학교 의학전문대학원 외과학교실) ;
  • 정상호 (경상대학교 의학전문대학원 외과학교실) ;
  • 정치영 (경상대학교 의학전문대학원 외과학교실) ;
  • 주영태 (경상대학교 의학전문대학원 외과학교실) ;
  • 정은정 (경상대학교 의학전문대학원 외과학교실) ;
  • 이영준 (경상대학교 의학전문대학원 외과학교실) ;
  • 최상경 (경상대학교 의학전문대학원 외과학교실) ;
  • 하우송 (경상대학교 의학전문대학원 외과학교실) ;
  • 박순태 (경상대학교 의학전문대학원 외과학교실) ;
  • 홍순찬 (경상대학교 의학전문대학원 외과학교실)
  • Received : 2010.06.09
  • Accepted : 2010.06.18
  • Published : 2010.06.30
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Abstract

Purpose: Over the past few decades, the treatment of traumatic splenic injuries has shifted to nonoperative management from surgical intervention. Although some nonoperative management failure have been reported, in most trauma centers, nonoperative management is now believed to be the treatment of choice in hemodynamically stable patients. Then, in this study, we have retrospectively evaluated our experience with traumatic splenic injury. Methods: From January 2005 to July 2009, 150 patients with blunt splenic injuries were managed in our hospital. Patients' charts were retrospectively reviewed to analyze their treatment, the patients were grouped according to those who had been admitted before October 2006, defined as the "early group", and those who had been admitted after October 2006, defined as the "late group". After the patients had been divided into two group, physiologic parameters and differences between the treatments were compared. Results: 150 patients were admitted to our hospital with blunt splenic trauma. In late group, both the surgical management rate and the nonoperative management failure rate were lower than they were in the early group. Conclusion: We expect angioembolization to effectively replace surgery for the treatment of selected patients with blunt splenic injury and to result in fewer complications.

Keywords

References

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