ARE PREDICTIVE FACTORS FOR SUCCESSFUL NON-OPERATIVE MANAGEMENT OF SPLENIC TRAUMA IN ADULTS STILL UNPREDICTABLE?
Naveed Nabi*, Ajaz Ahmad Malik, Munir Ahmad Wani, Irshad Ahmad, Beigh Firdous, Mir Showkat
ABSTRACT
Background: Recognition of spleen as a vital organ of reticulo-endothelial system with some important immunological functions has changed the management strategy of blunt splenic trauma from splenectomy to nonoperative techniques with greater emphasis on splenic preservation. After considerable success in pediatric population non-operative management of splenic trauma is frequently employed in adults as well, with commendable success rates. However, keeping in view the increased mortality and morbidity associated with failure of non-operative strategy, there is a need to identify positive predictors of successful non-operative management of splenic trauma in adults which are still a matter of debate. Objectives: The principal objective of our study was to study the predictive factors for successful non-operative management of splenic trauma in adults. Materials and Methods: It was an observational prospective and retrospective study conducted in Sheri-Kashmir Institute of Medical Sciences Srinagar India. All patients who met our inclusion criteria were monitored in HDUs (High Dependency Units) and all clinical and laboratory parameters were recorded on predesigned proforma. Collected data was finally analysed using SPSS v 20.0. Results: Among 44 patients included in our study, more than two-third (34;77.3%) were
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