caa a22 4500 465771807 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174344 doi (NATIONALLICENCE)springer-10.1007/BF00174344 Current management of liver and splenic blunt trauma in children [Elektronische Daten] [G. Tryfonas, G. Georgiou, S. Gavopoulos, M. Moshidou, G. Grigoriadis, G. Lagazalis] Thirty-nine children with blunt liver and/or splenic injury were treated in our department from 1979 to 1987; 23 had a splenic injury, 10 a hepatic injury, and the remaining 6 had both. The diagnosis was suggested by the history and physical examination and was confirmed by CT and radioisotope scanning. Every hemodynamically stable patient was initially managed non-operatively. The children who failed to respond to conservative treatment and had unstable vital signs indicating intractable hemorrhage were eventually operated upon. Every effort was made to preserve the liver and spleen during the operation. Liver repair, splenorraphy alone or in combination with splenic artery ligation, and autotransplantation of splenic tissue were widely used procedures. Sixteen patients were successfully managed nonoperatively, but the remaining 23 required surgery. Only 5 children became completely asplenic and no liver lobe resection was performed. It is suggested that conservative management of children with liver and/or splenic injury is both safe and effective. When surgical intervention is inevitable great effort should be made to preserve liver and spleen. Springer-Verlag, 1990 Liver trauma nationallicence splenic trauma nationallicence Abdominal CT nationallicence Liver and spleen scanning nationallicence Tryfonas G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Georgiou G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Gavopoulos S. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Moshidou M. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Grigoriadis G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Lagazalis G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 437-442 0179-0358 5:6<437 1990 5 383 https://doi.org/10.1007/BF00174344 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174344 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tryfonas G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Georgiou G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Gavopoulos S. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Moshidou M. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Grigoriadis G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Lagazalis G. Paediatric Surgical Clinic, Hippokratio General Hospital, GR-546 39, Thessaloniki, Greece aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 437-442 0179-0358 5:6<437 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer