History and modern trends in the treatment of spleen injuries in children


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Abstract

Introduction. Over the past 50 years, the concept of treating spleen injuries has undergone significant changes from no alternative to splenectomy to conservative treatment, and this concept is still being actively discussed. The present review shows evolution of views and approaches to the diagnostics and treatment of spleen injuries in children.

Material and methods. The literature search was done using keywords in eLIBRARY, MEDLINE and GOOGLESCHOLAR. 65 sources have been selected.

Results. The modern concept of spleen injury care has been formed under constantly improving techniques of non-invasive imaging of injuries (ultrasound, computed tomography), under constantly developing endoscopic and endovascular surgical techniques. Currently, conservative treatment of spleen injuries is close to 90-95%.

Conclusion. The evolution of views as to the treatment of spleen injuries in children is demonstrating fundamental changes which take place in traditional surgical practice as well as in medical technologies.

About the authors

A. L. Gorelik

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Author for correspondence.
Email: Dr.A.Gorelik@gmail.com
ORCID iD: 0000-0003-1746-8446

Alexander L. Gorelik, MD, department of polytrauma

Moscow, 119180, Russian Federation

Russian Federation

O. V. Karaseva

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma; National Medical Research Center for Children’s Health

Email: fake@neicon.ru
ORCID iD: 0000-0001-9418-4418

Moscow, 119180, Russian Federation

Moscow, 119991, Russian Federation

Russian Federation

K. E. Utkina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0003-3639-9394

Moscow, 119180, Russian Federation

Russian Federation

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