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01-11-2010

Evaluation of Need for Operative Intervention in Blunt Splenic Injury: Intraperitoneal Contrast Extravasation has an Increased Probability of Requiring Operative Intervention

Authors: Chih-Yuan Fu, Shih-Chi Wu, Ray-Jade Chen, Yung-Fang Chen, Yu-Chun Wang, Hung-Chang Huang, Jui-Chien Huang, Chih-Wei Lu, Wei-Ching Lin

Published in: World Journal of Surgery | Issue 11/2010

Abstract

Background

Angioembolization is an effective adjunct to the management of blunt splenic injuries (BSI) that are not surgically treated. However, in some cases patients are unable to undergo angioembolization due to changes in their hemodynamic condition. In this study we attempt to define the characteristics of patients who need angioembolization in high-grade BSI.

Methods

We retrospectively reviewed the charts of patients with BSI between January 2004 and June 2008. Patients with contrast extravasation (CE) on computed tomography (CT) scan were enrolled. The demographics, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), the amount of blood transfused, and the type of CE were analyzed.

Results

A total of 69 patients were enrolled. Patients with intraperitoneal CE in BSI required a higher rate of immediate operation due to changed hemodynamics. Furthermore, these patients displayed higher ISS and higher blood transfusion amounts.

Conclusions

In BSI patients, intraperitoneal CE is associated with a higher possibility of requiring surgical intervention. Early surgical intervention should be considered in BSI patients with intraperitoneal CE or with ISS ≥ 25.

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Title: Evaluation of Need for Operative Intervention in Blunt Splenic Injury: Intraperitoneal Contrast Extravasation has an Increased Probability of Requiring Operative Intervention
Authors: Chih-Yuan Fu
Shih-Chi Wu
Ray-Jade Chen
Yung-Fang Chen
Yu-Chun Wang
Hung-Chang Huang
Jui-Chien Huang
Chih-Wei Lu
Wei-Ching Lin
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 11/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0723-x

At a glance: The ONWARDS insulin icodec trials

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Evaluation of Need for Operative Intervention in Blunt Splenic Injury: Intraperitoneal Contrast Extravasation has an Increased Probability of Requiring Operative Intervention

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

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Abstract

Background

Methods

Results

Conclusions

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