Minor splenic injuries: Associated injuries and transfusion requirements

Lynne Flaherty, Gregory Jurkovich

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

To address criticisms of nonoperative management of splenic injury, we hypothesized that (1) patients with minor splenic injuries have a lower risk of associated visceral damage than patients with splenic injuries in general, and (2) exploration of these patients does not decrease their blood requirements. We reviewed charts of 182 patients who suffered blunt splenic trauma between 1983 and 1988. Sixty-seven sustained minor injuries, defined as requiring no therapy or responding to topical hemostatic agents. Twenty-three were initially managed nonoperatively, with three subsequently explored surgically for falling hematocrit; no associated injury requiring therapy was found. The median transfusion requirement in these 23 patients was 2 units. Forty-four were immediately explored, 11 for readily diagnosed injuries mandating laparotomy. The other 33 were explored for hemoperitoneum. One had an unsuspected bowel injury. The median blood requirement in these 33 was 2.5 units. We conclude that patients with minor splenic injuries who have no other indication for laparotomy have a very low incidence of associated significant abdominal injury. Their transfusion requirements are also not reduced by exploration.

Original languageEnglish (US)
Pages (from-to)1618-1621
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume31
Issue number12
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

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Wounds and Injuries
Laparotomy
Accidental Falls
Hemoperitoneum
Abdominal Injuries
Hemostatics
Hematocrit
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Minor splenic injuries : Associated injuries and transfusion requirements. / Flaherty, Lynne; Jurkovich, Gregory.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 31, No. 12, 01.01.1991, p. 1618-1621.

Research output: Contribution to journalArticle

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