World Journal of Emergency Surgery (Aug 2017)
Splenic trauma: WSES classification and guidelines for adult and pediatric patients
- 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
Affiliations
- Federico Coccolini
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Giulia Montori
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Fausto Catena
- Emergency and Trauma Surgery, Maggiore Hospital
- Yoram Kluger
- Division of General Surgery, Rambam Health Care Campus
- Walter Biffl
- Acute Care Surgery, The Queen’s Medical Center
- Ernest E. Moore
- Trauma Surgery, Denver Health Medical Center
- Viktor Reva
- General and Emergency Surgery, Sergei Kirov Military Academy
- Camilla Bing
- General and Emergency Surgery Department, Empoli Hospital
- Miklosh Bala
- General and Emergency Surgery, Hadassah Medical Center
- Paola Fugazzola
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Hany Bahouth
- Division of General Surgery, Rambam Health Care Campus
- Ingo Marzi
- Klinik für Unfall-, Hand- und Wiederherstellungschirurgie Universitätsklinikum Goethe-Universität Frankfurt
- George Velmahos
- Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital
- Rao Ivatury
- Virginia Commonwealth University
- Kjetil Soreide
- Department of Gastrointestinal Surgery, Stavanger University Hospital
- Tal Horer
- Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital and Örebro University
- Richard ten Broek
- Department of Surgery, Radboud University Nijmegen Medical Center
- Bruno M. Pereira
- Trauma/Acute Care Surgery and Surgical Critical Care, University of Campinas
- Gustavo P. Fraga
- Trauma/Acute Care Surgery and Surgical Critical Care, University of Campinas
- Kenji Inaba
- Division of Trauma and Critical Care, LAC+USC Medical Center
- Joseph Kashuk
- Department of Surgery, Assia Medical Group, Tel Aviv University Sackler School of Medicine
- Neil Parry
- General and Trauma Surgery Department, London Health Sciences Centre, Victoria Hospital
- Peter T. Masiakos
- Pediatric Trauma Service, Massachusetts General Hospital
- Konstantinos S. Mylonas
- Pediatric Trauma Service, Massachusetts General Hospital
- Andrew Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre
- Fikri Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University
- Carlos Augusto Gomes
- Universidade Federal de Juiz de Fora
- Simone Vasilij Benatti
- Infectivolgy Department, Papa Giovanni XXIII Hospital
- Noel Naidoo
- Department of Surgery, University of KwaZulu-Natal
- Francesco Salvetti
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Stefano Maccatrozzo
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Vanni Agnoletti
- Anesthesia Department, Bufalini Hospital
- Emiliano Gamberini
- Anesthesia Department, Bufalini Hospital
- Leonardo Solaini
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Antonio Costanzo
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Andrea Celotti
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Matteo Tomasoni
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Vladimir Khokha
- General Surgery Department, Mozir City Hospital
- Catherine Arvieux
- Clin. Univ. de Chirurgie Digestive et de l’Urgence, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes
- Lena Napolitano
- Trauma and Surgical Critical Care, University of Michigan Health System
- Lauri Handolin
- Trauma Unit, Helsinki University Hospital
- Michele Pisano
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Stefano Magnone
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- David A. Spain
- Department of Surgery, Stanford University
- Marc de Moya
- Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital
- Kimberly A. Davis
- General Surgery, Trauma, and Surgical Critical Care, Yale-New Haven Hospital
- Nicola De Angelis
- Hopital Heri Mondor
- Ari Leppaniemi
- General Surgery Department, Mehilati Hospital
- Paula Ferrada
- Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital
- Rifat Latifi
- General Surgery Department, Westchester Medical Center
- David Costa Navarro
- Colorectal Surgery Unit, Trauma Care Committee, Alicante General University Hospital
- Yashuiro Otomo
- Trauma and Acute Critical Care Center, Tokyo Medical and Dental University
- Raul Coimbra
- Department of Surgery, UC San Diego Health System
- Ronald V. Maier
- Department of Surgery, University of Washington
- Frederick Moore
- Department of Surgery
- Sandro Rizoli
- Trauma and Acute Care Service, St Michael’s Hospital
- Boris Sakakushev
- General Surgery Department, Medical University, University Hospital St George
- Joseph M. Galante
- Division of Trauma and Acute Care Surgery, University of California, Davis Medical Center
- Osvaldo Chiara
- Trauma Team, Ospedale Niguarda
- Stefania Cimbanassi
- Trauma Team, Ospedale Niguarda
- Alain Chichom Mefire
- Department of Surgery and Obstetric and Gynecology, University of Buea
- Dieter Weber
- Department of General Surgery, Royal Perth Hospital
- Marco Ceresoli
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- Andrew B. Peitzman
- Surgery Department, University of Pittsburgh
- Liban Wehlie
- General Surgery Department, Ayaan Hospital
- Massimo Sartelli
- General and Emergency Surgery, Macerata Hospital
- Salomone Di Saverio
- General, Emergency and Trauma Surgery Department, Maggiore Hospital
- Luca Ansaloni
- General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital
- DOI
- https://doi.org/10.1186/s13017-017-0151-4
- Journal volume & issue
-
Vol. 12,
no. 1
pp. 1 – 26
Abstract
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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