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Singer, G; Rieder, S; Eberl, R; Wegmann, H; Hoellwarth, ME.
Comparison of two treatment eras and sonographic long-term outcome of blunt splenic injuries in children.
Eur J Pediatr. 2013; 172(9):1187-1190
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Autor/innen der Med Uni Graz:
Eberl Robert
Höllwarth Michael
Singer Georg
Wegmann Helmut
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Abstract:
The treatment of blunt splenic injuries (BSI) has undergone a significant shift away from an operative approach to a conservative treatment regimen in the last decades. Data concerning long-term follow-up of children sustaining BSI are largely confined to telephone surveys. Children treated with BSI over a 33-year period were analyzed. In order to describe the changing treatment, patients were divided into two groups: group I included children treated between 1977 and 1999; group II children treated between 2000 and 2009. Additionally, patients treated nonoperatively between 2000 and 2009 were invited for a sonographic follow-up examination. In group I 81 patients and in group II 89 patients were treated. An increase of male patients from 69 to 88 % was observed, comparing the two eras. While children treated in the earlier period were 8.8-years-old mean (range 1 to 15), the patients treated between 2000 and 2009 were older (mean 10.4 years, range 1 to 17). Between 1977 and 1999, 79 % of the patients were treated nonoperatively. This rate considerably increased to 94 % in the second era. Follow-up examination was performed with a mean age of 6 years (range 1 to 11 years) post-injury. In 79 % of the cases, the spleen healed without sonographic long-term sequelae. In the remaining 21 % of the patients, a scar formation could be demonstrated. We were able to confirm that the majority of children sustaining BSI can be safely treated conservatively.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adolescent -
Child -
Child, Preschool -
Cicatrix - etiology
Female -
Follow-Up Studies -
Humans -
Infant -
Male -
Retrospective Studies -
Spleen - injuries
Splenectomy - statistics & numerical data
Tomography, X-Ray Computed - statistics & numerical data
Treatment Outcome -
Wounds, Nonpenetrating - radiography

Find related publications in this database (Keywords)
Abdominal trauma
Ultrasound
Splenic trauma
Children
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