Preview

Grekov's Bulletin of Surgery

Advanced search

STRUCTURE FUNCTIONAL STATE OF DAMAGED SPLEEN IN CHILDREN AFTER NONOPERATIVE TREATMENT

https://doi.org/10.24884/0042-4625-2016-175-1-64-70

Abstract

The results of treatment of 75 children with spleen damage were studied. The conservative treatment was applied in 69 (92%) cases. A restoration of spleen structure was noted in case of spleen injury on 3-4 weeks. The complete normalization of the spleen structure occurred in terms of 3-4 months after trauma. Posttraumatic cysts appeared in case of large defects and hematomas after 2-3 weeks and disappeared by 5-6 months. The regenerative process of shallow ruptures was registered after 3-10 weeks, but the deep ruptures were healed after 6-30 weeks. The preservation of the spleen after trauma have led to structure and function recovery and could be considered as primary prevention of asplenism.

About the Authors

V. V. Podkamenev
Irkutsk State Medical University
Russian Federation


I. A. Pikalo
Irkutsk State Medical University
Russian Federation


T. M. Andaeva
Irkutsk regional clinical hospital awarded the honour mark order
Russian Federation


T. N. Boiko
Irkutsk regional clinical hospital awarded the honour mark order
Russian Federation


References

1. Беляева О. А., Розинов В. М. Возможности эхографии в детской хирургии // Эхография внутренних органов у детей / Под ред. И. В. Дворяковского. М.: ПРОФИТ, 1994. С. 393-396.

2. Григорьев Е. Г., Апарцин К. А., Матинян Н. С. Органосохраняющая хирургия селезенки. Новосибирск: Наука, 2001. 400 с.

3. Попов Н. В. Методы лучевой диагностики хирургической патологии селезенки // Органосохраняющая хирургия селезенки / Под ред. Е. Г. Григорьева, К. А. Анафизина. Новосибирск: Наука, 2001. С. 207-212.

4. Brown R. L., Irish M. S., McCabe A. J. et al. Observation of splenic trauma: when is a little too much? // J. Pediatr. Surg. 1999. Vol. 34, № 7. P. 1124-1126.

5. Buntain W. L. Management of pediatric trauma. Philadelphia: WB Saunders, 1995. 788 p.

6. Filston H. C. Hemangiomas, cystic hygromas, and teratomas of the head and neck // Semin. Pediatr. Surg. 1994. Vol. 3, № 3. P. 147-159.

7. Frumiento C., Sartorelli K., Vane D. Complications of splenic injuries: expansion of the nonoperative theorem // J. Pediatr. Surg. 2000. Vol. 35, № 5. P. 788-791.

8. Miyano G., Yamataka A., Doi T. et al. Carbon dioxide pneumoperitoneum prevents intraperitoneal adhesions after laparotomy in rats // J. Pediatr. Surg. 2006. Vol. 41. P. 1025-1028.

9. Tepas J. J. Triage, trauma scores, and transport // In: Management of pediatric trauma. Ed. Buntain W. L. W. B. Saunders Company, 1995. P. 57-69.

10. Van der Vlies C. H., Saltzherr T. P., Wilde Jim C. H. et al. The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: a systematic review // J. Pediatr. Surg. 2010. Vol. 45. P. 1044-1049.

11. Yoo S. Y., Lim K. S., Kang S. J. Kim C. S. Pitfalls of nonoperative management of blunt abdominal trauma in children in Korea // J. Pediatr. Surg. 1996. Vol. 31, № 2. P. 263-166.


Review

For citations:


Podkamenev V.V., Pikalo I.A., Andaeva T.M., Boiko T.N. STRUCTURE FUNCTIONAL STATE OF DAMAGED SPLEEN IN CHILDREN AFTER NONOPERATIVE TREATMENT. Grekov's Bulletin of Surgery. 2016;175(1):64-70. (In Russ.) https://doi.org/10.24884/0042-4625-2016-175-1-64-70

Views: 3491


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)