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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2017

Open Access 01-12-2017 | Review

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Authors: Federico Coccolini, Giulia Montori, Fausto Catena, Yoram Kluger, Walter Biffl, Ernest E. Moore, Viktor Reva, Camilla Bing, Miklosh Bala, Paola Fugazzola, Hany Bahouth, Ingo Marzi, George Velmahos, Rao Ivatury, Kjetil Soreide, Tal Horer, Richard ten Broek, Bruno M. Pereira, Gustavo P. Fraga, Kenji Inaba, Joseph Kashuk, Neil Parry, Peter T. Masiakos, Konstantinos S. Mylonas, Andrew Kirkpatrick, Fikri Abu-Zidan, Carlos Augusto Gomes, Simone Vasilij Benatti, Noel Naidoo, Francesco Salvetti, Stefano Maccatrozzo, Vanni Agnoletti, Emiliano Gamberini, Leonardo Solaini, Antonio Costanzo, Andrea Celotti, Matteo Tomasoni, Vladimir Khokha, Catherine Arvieux, Lena Napolitano, Lauri Handolin, Michele Pisano, Stefano Magnone, David A. Spain, Marc de Moya, Kimberly A. Davis, Nicola De Angelis, Ari Leppaniemi, Paula Ferrada, Rifat Latifi, David Costa Navarro, Yashuiro Otomo, Raul Coimbra, Ronald V. Maier, Frederick Moore, Sandro Rizoli, Boris Sakakushev, Joseph M. Galante, Osvaldo Chiara, Stefania Cimbanassi, Alain Chichom Mefire, Dieter Weber, Marco Ceresoli, Andrew B. Peitzman, Liban Wehlie, Massimo Sartelli, Salomone Di Saverio, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2017

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Abstract

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.
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Metadata
Title
Splenic trauma: WSES classification and guidelines for adult and pediatric patients
Authors
Federico Coccolini
Giulia Montori
Fausto Catena
Yoram Kluger
Walter Biffl
Ernest E. Moore
Viktor Reva
Camilla Bing
Miklosh Bala
Paola Fugazzola
Hany Bahouth
Ingo Marzi
George Velmahos
Rao Ivatury
Kjetil Soreide
Tal Horer
Richard ten Broek
Bruno M. Pereira
Gustavo P. Fraga
Kenji Inaba
Joseph Kashuk
Neil Parry
Peter T. Masiakos
Konstantinos S. Mylonas
Andrew Kirkpatrick
Fikri Abu-Zidan
Carlos Augusto Gomes
Simone Vasilij Benatti
Noel Naidoo
Francesco Salvetti
Stefano Maccatrozzo
Vanni Agnoletti
Emiliano Gamberini
Leonardo Solaini
Antonio Costanzo
Andrea Celotti
Matteo Tomasoni
Vladimir Khokha
Catherine Arvieux
Lena Napolitano
Lauri Handolin
Michele Pisano
Stefano Magnone
David A. Spain
Marc de Moya
Kimberly A. Davis
Nicola De Angelis
Ari Leppaniemi
Paula Ferrada
Rifat Latifi
David Costa Navarro
Yashuiro Otomo
Raul Coimbra
Ronald V. Maier
Frederick Moore
Sandro Rizoli
Boris Sakakushev
Joseph M. Galante
Osvaldo Chiara
Stefania Cimbanassi
Alain Chichom Mefire
Dieter Weber
Marco Ceresoli
Andrew B. Peitzman
Liban Wehlie
Massimo Sartelli
Salomone Di Saverio
Luca Ansaloni
Publication date
01-12-2017
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2017
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-017-0151-4

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