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Open Access 01-12-2019 | Research article

The World Society of Emergency Surgery (WSES) spleen trauma classification: a useful tool in the management of splenic trauma

Authors: Federico Coccolini, Paola Fugazzola, Lucia Morganti, Marco Ceresoli, Stefano Magnone, Giulia Montori, Matteo Tomasoni, Stefano Maccatrozzo, Niccolò Allievi, Savino Occhionorelli, Yoram Kluger, Massimo Sartelli, Gian Luca Baiocchi, Luca Ansaloni, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2019

Abstract

Background

The World Society of Emergency Surgery (WSES) spleen trauma classification meets the need of an evolution of the current anatomical spleen injury scale considering both the anatomical lesions and their physiologic effect. The aim of the present study is to evaluate the efficacy and trustfulness of the WSES classification as a tool in the decision-making process during spleen trauma management.

Methods

Multicenter prospective observational study on adult patients with blunt splenic trauma managed between 2014 and 2016 in two Italian trauma centers (ASST Papa Giovanni XXIII in Bergamo and Sant’Anna University Hospital in Ferrara). Risk factors for operative management at the arrival of the patient and as a definitive treatment were analyzed. Moreover, the association between the different WSES grades of injury and the definitive management was analyzed.

Results

One hundred twenty-four patients were included. At multivariate analysis, a WSES splenic injury grade IV is a risk factor for the operative management both at the arrival of the patients and as a definitive treatment. WSES splenic injury grade III is a risk factor for angioembolization.

Conclusions

The WSES classification is a good and reliable tool in the decision-making process in splenic trauma management.

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Title: The World Society of Emergency Surgery (WSES) spleen trauma classification: a useful tool in the management of splenic trauma
Authors: Federico Coccolini
Paola Fugazzola
Lucia Morganti
Marco Ceresoli
Stefano Magnone
Giulia Montori
Matteo Tomasoni
Stefano Maccatrozzo
Niccolò Allievi
Savino Occhionorelli
Yoram Kluger
Massimo Sartelli
Gian Luca Baiocchi
Luca Ansaloni
Fausto Catena
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2019
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-019-0246-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The World Society of Emergency Surgery (WSES) spleen trauma classification: a useful tool in the management of splenic trauma

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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