Journal of the Royal College of Surgeons of Edinburgh
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J R Coll Surg Edinb · Jun 1993
Review Case ReportsAir-weapon crimes and accidents: a source of preventable injury.
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Conservative management of splenic injuries following blunt abdominal trauma is receiving increasing support following delineation of the role of the spleen in preventing infections. This report describes experience with the treatment of 215 consecutive cases treated between 1982 and 1989. A total of 38 patients underwent non-operative management (NOM), 16 splenorrhaphy, 16 partial splenectomy, 60 splenectomy with autotransplantation and 85 splenectomy alone. ⋯ No major complications were observed in the autotransplantation group; a good function and morphology of the re-implanted splenic tissue was always evident by radioisotopic, echographic and histological studies. A conservative approach should always be considered in splenic trauma. In cases where NOM, splenorrhaphy and partial resection are unsafe, splenectomy with autotransplantation should be considered as this simple and reliable technique allows preservation of splenic function.
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J R Coll Surg Edinb · Jun 1993
Comment Letter Comparative StudyPassive tube and suction drainage after elective cholecystectomy--a comparison using ultrasonography.