Abstract

FERRO MOREIRA, María Eugenia; MIRANDA ESPINOSA, Norberto; OLIVERA SALGADO, Julio Diego  and  CALLEJO HERNANDEZ, Mario. Conservative behavior in case of splenic traumatism. Rev Cubana Pediatr [online]. 2011, vol.83, n.1, pp.14-21. ISSN 0034-7531.

INTRODUCTION. The spleen is the more frequent involved organ in the abdominal traumata. The aims of present paper were to describe the conservative behavior in case of splenic traumatism and to determine its frequency in the "Juan Manuel Márquez" Children University Hospital, provincial children center of care for poli-traumatism child, where this type of behavior is emphasized due to benefits offered by spleen preservation to the immunologic function. METHODS. A retrospective study was conducted in 36 patients presenting with splenic traumatism treated in a conservative way taking into account as main criterion the hemodynamic patient's stability. The age, sex, cause of splenic lesion, associated lesions, and conservative treatment, applied complications and hospital stay. RESULTS. Splenic traumatism was present in the 66,6% of abdominal traumata. The more frequent causes were the road accidents (50%), followed by falls from heights (33%). In the 89% of patients there was a conservative behavior: in the 88% a conservative medical treatment was applied and in the 11% surgical methods of splenic conservation were used. CONCLUSIONS. Total of lesions occurred due to bruise traumatisms. Surgical techniques used were two splenorrhaphies and a partial splenectomy. There were not deceased and complications were minimal, thus, we considered that conservative behavior of splenic traumatism is a safe treatment modality in childhood.

Keywords : Conservative behavior; splenic preservation methods; splenectomy.

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