Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma

Zülfü Bayhan; Sezgin Zeren; Mehmet Ekici; Cüneyt Kahraman; Turgay Şimşek

doi:10.5798/diclemedj.0921.2016.01.0649

Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma

Abstract

Objective: Nonoperative management is the preferred treatment option of blunt splenic injury in appropriate conditions. İncreasing success is achieved with the help of advanced imaging techniques and angioembolization procedure. We aimed to compare clinical outcomes of Nonoperative Management and Surgical Intervention in patients with blunt splenic injury.
Methods: Records of 56 patients who were treated by nonoperative management or surgical intervention in our clinic were reviewed retrospectively. Patients were evaluated in terms of age, gender, grade of injury, mortality, length of hospital stay, complications, presence of additional injuries and concomitant disease in both groups.
Results: There were 29 patients (51.78%) in the surgery group and 27 patients (48.2%) in the nonoperative management group. Grade of injury was determined significantly higher in surgical treatment group (p<0.001). Additional injury was observed more in the group treated with surgery (p: 0.033). Infectious complication rate was found higher in surgically treated group (<0.001). There was no significant difference between the groups in terms of age, gender, mortality, length of hospital stay, presence of concomitant disease.
Conclusion: Nonoperative management is the appropriate method in treatment of blunt splenic injury in patients who were hemodinamically stable and have no signs of peritoneal irritation. Nonoperative management is increasingly being implemented in conjunction with improvements in imaging methods. Angioembolization is a treatment that increases the success rate of nonoperative management and implementation of this method in trauma centers is an important target. Surgical intervention is inevitable in cases when the nonoperative management is inappropriate.
Key words: Blunt splenic injury, Nonoperative Management, Splenectomy, Splenoraphy.

Keywords

Künt dalak yaralanması, Konservatif tedavi, Splenektomi, Splenorafi

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Zülfü Bayhan

Sezgin Zeren This is me

Mehmet Ekici This is me

Cüneyt Kahraman This is me

Turgay Şimşek This is me

Publication Date

March 1, 2016

Submission Date

March 29, 2016

Acceptance Date

-

Published in Issue

Year 2016 Volume: 43 Number: 1

DOI

https://doi.org/10.5798/diclemedj.0921.2016.01.0649

IZ

https://izlik.org/JA35TR65PA

Cite

RIS / Bibtex

APA

Bayhan, Z., Zeren, S., Ekici, M., Kahraman, C., & Şimşek, T. (2016). Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma. Dicle Medical Journal, 43(1), 117-121. https://doi.org/10.5798/diclemedj.0921.2016.01.0649

AMA

1.Bayhan Z, Zeren S, Ekici M, Kahraman C, Şimşek T. Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma. Dicle Medical Journal. 2016;43(1):117-121. doi:10.5798/diclemedj.0921.2016.01.0649

Chicago

Bayhan, Zülfü, Sezgin Zeren, Mehmet Ekici, Cüneyt Kahraman, and Turgay Şimşek. 2016. “Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma”. Dicle Medical Journal 43 (1): 117-21. https://doi.org/10.5798/diclemedj.0921.2016.01.0649.

EndNote

Bayhan Z, Zeren S, Ekici M, Kahraman C, Şimşek T (March 1, 2016) Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma. Dicle Medical Journal 43 1 117–121.

IEEE

[1]Z. Bayhan, S. Zeren, M. Ekici, C. Kahraman, and T. Şimşek, “Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma”, Dicle Medical Journal, vol. 43, no. 1, pp. 117–121, Mar. 2016, doi: 10.5798/diclemedj.0921.2016.01.0649.

ISNAD

Bayhan, Zülfü - Zeren, Sezgin - Ekici, Mehmet - Kahraman, Cüneyt - Şimşek, Turgay. “Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma”. Dicle Medical Journal 43/1 (March 1, 2016): 117-121. https://doi.org/10.5798/diclemedj.0921.2016.01.0649.

JAMA

1.Bayhan Z, Zeren S, Ekici M, Kahraman C, Şimşek T. Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma. Dicle Medical Journal. 2016;43:117–121.

MLA

Bayhan, Zülfü, et al. “Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma”. Dicle Medical Journal, vol. 43, no. 1, Mar. 2016, pp. 117-21, doi:10.5798/diclemedj.0921.2016.01.0649.

Vancouver

1.Zülfü Bayhan, Sezgin Zeren, Mehmet Ekici, Cüneyt Kahraman, Turgay Şimşek. Comparison of the Clinical Outcome of Nonoperative Management and Surgical Treatment of Blunt Splenic Trauma. Dicle Medical Journal. 2016 Mar. 1;43(1):117-21. doi:10.5798/diclemedj.0921.2016.01.0649