Shoaib Ahmed Gangat, Anjum Rehman, Amir Ali Khaskhali, Mohd Ayub, Saher Fatima, Iqbal Ahmed Memon.
Splenic trauma - management in relation to mode and grade.
Pak J Surg Jan ;24(1):2-4.

Objective: To study the prevalence and management of splenic trauma in relation to its mode and grade. Design and Duration: Prospective descriptive study from June 2002 to May 2007. Setting: Surgical Unit III, Civil Hospital, Karachi. Patients: All cases admitted in emergency with abdominal trauma and splenic injury. Methodology: The data of all the patients who had splenic trauma was entered on a proforma and analyzed. Results: A total of 44 patients with ages between 20-40 years presented with splenic injury; 32(72.7%) were male. The commonest mode of splenic trauma was blunt abdominal injury (50%), and most (47%) patients had Grade- III injury. Splenectomy was carried out in 84% patients, while 9% underwent splenic salvage. Seven (15.9%) patients with splenectomy died in the series. Conclusion: Splenic injury was mostly caused by blunt abdominal trauma. Proper assessment of the grade of injury at the time of laparotomy resulted in more splenic salvage procedures with decreased risk of complications.

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