J Visc Surg
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Multicenter Study Comparative Study
Is non-operative management of severe blunt splenic injury safer than embolization or surgery? Results from a French prospective multicenter study.
The management of the severe blunt splenic injuries remains debated. The aim of this study is to evaluate the morbidity and mortality of splenic injury according to severity and management (surgery, embolization, non-operative management [NOM]). ⋯ Embolization, because of its important specific morbidity, should not be performed as a prophylactic measure, but only in presence of clinical or laboratory signs of bleeding.