Laparoscopic splenectomy after failure of nonoperative management – a video vignette

2021 ◽  
Author(s):  
Alessio Giordano ◽  
Alessandro Bruscino ◽  
Carlo Bergamini ◽  
Giovanni Alemanno ◽  
Andrea Valeri ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Nonoperative Management ◽  
Video Vignette

Laparoscopic splenectomy in the armamentarium of the colorectal surgeon – a video vignette

2019 ◽  
Vol 21 (11) ◽  
pp. 1342-1343 ◽  
Author(s):  
S. G. Popeskou ◽  
F. Ris ◽  
N. C. Buchs ◽  
J. Meyer ◽  
E. Liot ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Colorectal Surgeon ◽  
Video Vignette

Laparoscopic splenectomy with selective intracorporeal ligation of splenic hilar vessels for high-grade splenic injury - a video vignette

2018 ◽  
Vol 20 (3) ◽  
pp. 264-266 ◽  
Author(s):  
A. Birindelli ◽  
E. Segalini ◽  
A. Affinita ◽  
G. Tugnoli ◽  
S. Di Saverio
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Injury ◽  
High Grade ◽  
Intracorporeal Ligation ◽  
Video Vignette

170: Nonoperative Management of Blunt Renal Trauma: Is Routine Follow-Up Imaging Necessary?

2007 ◽  
Vol 177 (4S) ◽  
pp. 57-58
Author(s):  
John B. Malcolm ◽  
Reza Mehrazin ◽  
Christopher J. DiBlasio ◽  
David D. Vance ◽  
Robert W. Wake ◽  
...  
Keyword(s):  
Nonoperative Management ◽  
Renal Trauma

310: Nonoperative Management of Isolated Urinary Extravasation in the Traumatized Kidney

2006 ◽  
Vol 175 (4S) ◽  
pp. 102-103
Author(s):  
Nejd F. Aisikafi ◽  
Sean P. Elliott ◽  
Jack W. McAninch
Keyword(s):  
Nonoperative Management ◽  
Urinary Extravasation

Obesity and Failure of Nonoperative Management of Pediatric Both-Bone Forearm Fractures

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 592A-592A
Author(s):  
Ugochi C. Okoroafor ◽  
Jasmin L. McGinty
Keyword(s):  
Nonoperative Management ◽  
Forearm Fractures

Laparoscopic Splenectomy-A Review

2004 ◽  
Vol 14 (5) ◽  
pp. 12 ◽  
Author(s):  
Ashley K. Vavra ◽  
John F. Sweeney
Keyword(s):  
Laparoscopic Splenectomy

scholarly journals Nonoperative management of splenic injury in closely monitored patients with reduced consciousness is safe and feasible

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Michel Teuben ◽  
Roy Spijkerman ◽  
Taco Blokhuis ◽  
Roman Pfeifer ◽  
Henrik Teuber ◽  
...  
Keyword(s):  
Mental Status ◽  
Injury Severity ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Splenic Trauma ◽  
Blunt Splenic Injury ◽  
Icu Stay ◽  
Severity Scores ◽  
Gcs Score ◽  
The Impact

Abstract Background Treatment of blunt splenic injury has changed over the past decades. Nonoperative management (NOM) is the treatment of choice. Adequate patient selection is a prerequisite for successful NOM. Impaired mental status is considered as a relative contra indication for NOM. However, the impact of altered consciousness in well-equipped trauma institutes is unclear. We hypothesized that impaired mental status does not affect outcome in patients with splenic trauma. Methods Our prospectively composed trauma database was used and adult patients with blunt splenic injury were included during a 14-year time period. Treatment guidelines remained unaltered over time. Patients were grouped based on the presence (Group GCS: < 14) or absence (Group GCS: 14–15) of impaired mental status. Outcome was compared. Results A total of 161 patients were included, of whom 82 were selected for NOM. 36% of patients had a GCS-score < 14 (N = 20). The median GCS-score in patients with reduced consciousness was 9 (range 6–12). Groups were comparable except for significantly higher injury severity scores in the impaired mental status group (19 vs. 17, p = 0.007). Length of stay (28 vs. 9 days, p < 0.001) and ICU-stay (8 vs. 0 days, p = 0.005) were longer in patients with decreased GCS-scores. Failure of NOM, total splenectomy rates, complications and mortality did not differ between both study groups. Conclusion This study shows that NOM for blunt splenic trauma is a viable treatment modality in well-equipped institutions, regardless of the patients mental status. However, the presence of neurologic impairment is associated with prolonged ICU-stay and hospitalization. We recommend, in institutions with adequate monitoring facilities, to attempt nonoperative management for blunt splenic injury, in all hemodynamically stable patients without hollow organ injuries, also in the case of reduced consciousness.

Laparoscopic segment IV a liver resection: the diamond technique – a video vignette

2019 ◽  
Vol 21 (9) ◽  
pp. 1099-1100
Author(s):  
Mihailo Bezmarevic ◽  
Anton F. Engelsman ◽  
Marc G. Besselink
Keyword(s):  
Liver Resection ◽  
Video Vignette
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