Resolution of splenic injury after nonoperative management☆
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Evaluation and Management of Traumatic Conditions in the Athlete
2019, Clinics in Sports MedicineSplenic Trauma in Children
2019, Shackelford's Surgery of the Alimentary Tract: 2 Volume SetManagement of Splenic Trauma in Children
2012, Shackelford's Surgery of the Alimentary Tract: Volume 1-2, Seventh EditionTraumatic pseudoaneurysms of the liver and spleen in children: Is routine screening warranted?
2011, Journal of Pediatric SurgeryCitation Excerpt :There are no actual data provided to support this recommendation. Several studies examining the nonoperative management of blunt abdominal solid organ injuries have found that follow-up imaging does not change the course of management, and patients who do not have follow-up imaging still have good outcomes [9-19]. Li and Anchor [20] compared the self-reported practice patterns of Canadian general surgeons and pediatric general surgeons in treating blunt splenic injuries in children.
Management of pediatric blunt splenic injuries in Canada-practices and opinions
2009, Journal of Pediatric SurgeryCitation Excerpt :This suggests that such a practice not only leads to increased ionizing radiation exposure of the patient but also undue inconvenience on the families who often have to alter their lifestyles to accommodate their child's activity restrictions. Many studies examining the NOM of BSIs have found that follow-up imaging, when performed, does not change the course of management, and patients who do not have follow-up imaging have good outcomes regardless [16,29-35]. Our results found PGS to be more likely than GS to follow APSA guidelines for resource use.
Throwing out the "grade" book: management of isolated spleen and liver injury based on hemodynamic status
2008, Journal of Pediatric SurgeryCitation Excerpt :Equally controversial as hemodynamic vs grade-based management is the length and type of activity restriction after hospital discharge and what, if any, follow-up imaging studies should be performed. The APSA guidelines and several other authors recommend 2 to 3 months (or up to 5 months) of “light” activity before being released to “normal” childhood activity, requiring the patient be homebound for a period ranging from 3 weeks to 3 months [17-19]. There are several hidden costs associated with this method, including lost wages or childcare costs for families who must provide care to their homebound child.
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Presented at the 26th Annual Meeting of the Pacific Association of Pediatric Surgeons, Cairns, Australia, May 9–14, 1993.