Outcome After Conservative and Surgical Treatment of Splenic Injuries After Blunt Abdominal Trauma. Retrospective Study 2002-2008.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Splenic Rupture
- Sponsor
- Insel Gruppe AG, University Hospital Bern
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Splenic salvage rate
- Status
- Completed
- Last Updated
- 16 years ago
Overview
Brief Summary
Retrospective study in order to investigate the outcome after conservative (with or without transcatheter arterial embolization) and surgical treatment of splenic injuries.
Detailed Description
Background Splenic injuries after blunt abdominal trauma are treated with increasing frequency without operation. Patients undergo observation and bed rest. In certain circumstances an additional transcatheter arterial embolization is performed. It is uncertain which splenic ruptures (injury grades according to Moore) are best treated non-operatively and which are best treated with an emergency operation. Furthermore the value of organ-preserving surgery (splenorrhaphy) is uncertain. In addition, the importance of transcatheter arterial embolisation is unknown. Objective Evaluation of outcome (splenic salvage rate, complications, survival) after conservative and surgical treatment. Evaluation of the importance of organ-preserving surgery and of transcatheter arterial embolization. Methods All adult patients with splenic injuries after blunt abdominal trauma are included (2002-2008). The patients charts are studied and the following main information retrieved: age, gender, mechanism of accident, grade of splenic injury, concomitant injuries, patient management in the emergency department (fluid administration etc.), diagnostic methods (ultrasound, computed tomography), treatment modalities (bed rest, surgery, embolization), complications of treatment, re-operations, long-term outcome.
Investigators
Eligibility Criteria
Inclusion Criteria
- •traumatic splenic rupture
- •16 years and older
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Splenic salvage rate
Time Frame: Routine follow-up examinations were performed 3 and 6 months after splenic injury. All patients and/or their treating physicians will be contacted in order gather information about the present health status
Secondary Outcomes
- Rate of organ-preserving surgery(Routine follow-up examinations were performed 3 and 6 months after splenic injury. All patients and/or their treating physicians will be contacted in order gather information about the present health status)
- Percentage of secondary splenic ruptures(Routine follow-up examinations were performed 3 and 6 months after splenic injury. All patients and/or their treating physicians will be contacted in order gather information about the present health status)
- Percentage of patients undergoing a non-operative management(Routine follow-up examinations were performed 3 and 6 months after splenic injury. All patients and/or their treating physicians will be contacted in order gather information about the present health status)
- Percentage of patients undergoing transcatheter arterial embolisation(Routine follow-up examinations were performed 3 and 6 months after splenic injury. All patients and/or their treating physicians will be contacted in order gather information about the present health status)