Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Federico Coccolini; Giulia Montori; Fausto Catena; Yoram Kluger; Walter Biffl; Ernest E. Moore; Viktor Reva; Camilla Bing; Miklosh Bala; Paola Fugazzola; Hany Bahouth; Ingo Marzi; George Velmahos; Rao Ivatury; Kjetil Soreide; Tal Horer; Richard ten Broek; Bruno M. Pereira; Gustavo P. Fraga; Kenji Inaba; Joseph Kashuk; Neil Parry; Peter T. Masiakos; Konstantinos S. Mylonas; Andrew Kirkpatrick; Fikri Abu-Zidan; Carlos Augusto Gomes; Simone Vasilij Benatti; Noel Naidoo; Francesco Salvetti; Stefano Maccatrozzo; Vanni Agnoletti; Emiliano Gamberini; Leonardo Solaini; Antonio Costanzo; Andrea Celotti; Matteo Tomasoni; Vladimir Khokha; Catherine Arvieux; Lena Napolitano; Lauri Handolin; Michele Pisano; Stefano Magnone; David A. Spain; Marc de Moya; Kimberly A. Davis; Nicola De Angelis; Ari Leppaniemi; Paula Ferrada; Rifat Latifi; David Costa Navarro; Yashuiro Otomo; Raul Coimbra; Ronald V. Maier; Frederick Moore; Sandro Rizoli; Boris Sakakushev; Joseph M. Galante; Osvaldo Chiara; Stefania Cimbanassi; Alain Chichom Mefire; Dieter Weber; Marco Ceresoli; Andrew B. Peitzman; Liban Wehlie; Massimo Sartelli; Salomone Di Saverio; Luca Ansaloni

doi:10.1186/s13017-017-0151-4

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Federico Coccolini, Giulia Montori, Fausto Catena, Yoram Kluger, Walter Biffl, Ernest E. Moore, Viktor Reva, Camilla Bing, Miklosh Bala, Paola Fugazzola, Hany Bahouth, Ingo Marzi, George Velmahos, Rao Ivatury, Kjetil Soreide, Tal Horer, Richard ten Broek, Bruno M. Pereira, Gustavo P. Fraga, Kenji InabaJoseph Kashuk, Neil Parry, Peter T. Masiakos, Konstantinos S. Mylonas, Andrew Kirkpatrick, Fikri Abu-Zidan, Carlos Augusto Gomes, Simone Vasilij Benatti, Noel Naidoo, Francesco Salvetti, Stefano Maccatrozzo, Vanni Agnoletti, Emiliano Gamberini, Leonardo Solaini, Antonio Costanzo, Andrea Celotti, Matteo Tomasoni, Vladimir Khokha, Catherine Arvieux, Lena Napolitano, Lauri Handolin, Michele Pisano, Stefano Magnone, David A. Spain, Marc de Moya, Kimberly A. Davis, Nicola De Angelis, Ari Leppaniemi, Paula Ferrada, Rifat Latifi, David Costa Navarro, Yashuiro Otomo, Raul Coimbra, Ronald V. Maier, Frederick Moore, Sandro Rizoli, Boris Sakakushev, Joseph M. Galante, Osvaldo Chiara, Stefania Cimbanassi, Alain Chichom Mefire, Dieter Weber, Marco Ceresoli, Andrew B. Peitzman, Liban Wehlie, Massimo Sartelli, Salomone Di Saverio, Luca Ansaloni

Department of Surgery

Research output: Contribution to journal › Review article › peer-review

265 Citations (Scopus)

Abstract

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.

Original language	English
Article number	40
Journal	World Journal of Emergency Surgery
Volume	12
Issue number	1
DOIs	https://doi.org/10.1186/s13017-017-0151-4
Publication status	Published - Aug 18 2017

Keywords

Adult
Classification
Conservative
Embolization
Guidelines
Non-operative
Pediatric
Spleen
Surgery
Trauma

ASJC Scopus subject areas

Surgery
Emergency Medicine

Access to Document

10.1186/s13017-017-0151-4

Cite this

Coccolini, F., Montori, G., Catena, F., Kluger, Y., Biffl, W., Moore, E. E., Reva, V., Bing, C., Bala, M., Fugazzola, P., Bahouth, H., Marzi, I., Velmahos, G., Ivatury, R., Soreide, K., Horer, T., ten Broek, R., Pereira, B. M., Fraga, G. P., ... Ansaloni, L. (2017). Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World Journal of Emergency Surgery, 12(1), Article 40. https://doi.org/10.1186/s13017-017-0151-4

Coccolini, F, Montori, G, Catena, F, Kluger, Y, Biffl, W, Moore, EE, Reva, V, Bing, C, Bala, M, Fugazzola, P, Bahouth, H, Marzi, I, Velmahos, G, Ivatury, R, Soreide, K, Horer, T, ten Broek, R, Pereira, BM, Fraga, GP, Inaba, K, Kashuk, J, Parry, N, Masiakos, PT, Mylonas, KS, Kirkpatrick, A, Abu-Zidan, F, Gomes, CA, Benatti, SV, Naidoo, N, Salvetti, F, Maccatrozzo, S, Agnoletti, V, Gamberini, E, Solaini, L, Costanzo, A, Celotti, A, Tomasoni, M, Khokha, V, Arvieux, C, Napolitano, L, Handolin, L, Pisano, M, Magnone, S, Spain, DA, de Moya, M, Davis, KA, De Angelis, N, Leppaniemi, A, Ferrada, P, Latifi, R, Navarro, DC, Otomo, Y, Coimbra, R, Maier, RV, Moore, F, Rizoli, S, Sakakushev, B, Galante, JM, Chiara, O, Cimbanassi, S, Mefire, AC, Weber, D, Ceresoli, M, Peitzman, AB, Wehlie, L, Sartelli, M, Di Saverio, S & Ansaloni, L 2017, 'Splenic trauma: WSES classification and guidelines for adult and pediatric patients', World Journal of Emergency Surgery, vol. 12, no. 1, 40. https://doi.org/10.1186/s13017-017-0151-4

@article{524ea3adab1d47dd85f67d275b0af537,

title = "Splenic trauma: WSES classification and guidelines for adult and pediatric patients",

abstract = "Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.",

keywords = "Adult, Classification, Conservative, Embolization, Guidelines, Non-operative, Pediatric, Spleen, Surgery, Trauma",

author = "Federico Coccolini and Giulia Montori and Fausto Catena and Yoram Kluger and Walter Biffl and Moore, {Ernest E.} and Viktor Reva and Camilla Bing and Miklosh Bala and Paola Fugazzola and Hany Bahouth and Ingo Marzi and George Velmahos and Rao Ivatury and Kjetil Soreide and Tal Horer and {ten Broek}, Richard and Pereira, {Bruno M.} and Fraga, {Gustavo P.} and Kenji Inaba and Joseph Kashuk and Neil Parry and Masiakos, {Peter T.} and Mylonas, {Konstantinos S.} and Andrew Kirkpatrick and Fikri Abu-Zidan and Gomes, {Carlos Augusto} and Benatti, {Simone Vasilij} and Noel Naidoo and Francesco Salvetti and Stefano Maccatrozzo and Vanni Agnoletti and Emiliano Gamberini and Leonardo Solaini and Antonio Costanzo and Andrea Celotti and Matteo Tomasoni and Vladimir Khokha and Catherine Arvieux and Lena Napolitano and Lauri Handolin and Michele Pisano and Stefano Magnone and Spain, {David A.} and {de Moya}, Marc and Davis, {Kimberly A.} and {De Angelis}, Nicola and Ari Leppaniemi and Paula Ferrada and Rifat Latifi and Navarro, {David Costa} and Yashuiro Otomo and Raul Coimbra and Maier, {Ronald V.} and Frederick Moore and Sandro Rizoli and Boris Sakakushev and Galante, {Joseph M.} and Osvaldo Chiara and Stefania Cimbanassi and Mefire, {Alain Chichom} and Dieter Weber and Marco Ceresoli and Peitzman, {Andrew B.} and Liban Wehlie and Massimo Sartelli and {Di Saverio}, Salomone and Luca Ansaloni",

note = "Publisher Copyright: {\textcopyright} 2017 The Author(s).",

year = "2017",

month = aug,

day = "18",

doi = "10.1186/s13017-017-0151-4",

language = "English",

volume = "12",

journal = "World Journal of Emergency Surgery",

issn = "1749-7922",

publisher = "BioMed Central Ltd.",

number = "1",

}

TY - JOUR

T1 - Splenic trauma

T2 - WSES classification and guidelines for adult and pediatric patients

AU - Coccolini, Federico

AU - Montori, Giulia

AU - Catena, Fausto

AU - Kluger, Yoram

AU - Biffl, Walter

AU - Moore, Ernest E.

AU - Reva, Viktor

AU - Bing, Camilla

AU - Bala, Miklosh

AU - Fugazzola, Paola

AU - Bahouth, Hany

AU - Marzi, Ingo

AU - Velmahos, George

AU - Ivatury, Rao

AU - Soreide, Kjetil

AU - Horer, Tal

AU - ten Broek, Richard

AU - Pereira, Bruno M.

AU - Fraga, Gustavo P.

AU - Inaba, Kenji

AU - Kashuk, Joseph

AU - Parry, Neil

AU - Masiakos, Peter T.

AU - Mylonas, Konstantinos S.

AU - Kirkpatrick, Andrew

AU - Abu-Zidan, Fikri

AU - Gomes, Carlos Augusto

AU - Benatti, Simone Vasilij

AU - Naidoo, Noel

AU - Salvetti, Francesco

AU - Maccatrozzo, Stefano

AU - Agnoletti, Vanni

AU - Gamberini, Emiliano

AU - Solaini, Leonardo

AU - Costanzo, Antonio

AU - Celotti, Andrea

AU - Tomasoni, Matteo

AU - Khokha, Vladimir

AU - Arvieux, Catherine

AU - Napolitano, Lena

AU - Handolin, Lauri

AU - Pisano, Michele

AU - Magnone, Stefano

AU - Spain, David A.

AU - de Moya, Marc

AU - Davis, Kimberly A.

AU - De Angelis, Nicola

AU - Leppaniemi, Ari

AU - Ferrada, Paula

AU - Latifi, Rifat

AU - Navarro, David Costa

AU - Otomo, Yashuiro

AU - Coimbra, Raul

AU - Maier, Ronald V.

AU - Moore, Frederick

AU - Rizoli, Sandro

AU - Sakakushev, Boris

AU - Galante, Joseph M.

AU - Chiara, Osvaldo

AU - Cimbanassi, Stefania

AU - Mefire, Alain Chichom

AU - Weber, Dieter

AU - Ceresoli, Marco

AU - Peitzman, Andrew B.

AU - Wehlie, Liban

AU - Sartelli, Massimo

AU - Di Saverio, Salomone

AU - Ansaloni, Luca

PY - 2017/8/18

Y1 - 2017/8/18

N2 - Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.

AB - Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.

KW - Adult

KW - Classification

KW - Conservative

KW - Embolization

KW - Guidelines

KW - Non-operative

KW - Pediatric

KW - Spleen

KW - Surgery

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=85027713022&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027713022&partnerID=8YFLogxK

U2 - 10.1186/s13017-017-0151-4

DO - 10.1186/s13017-017-0151-4

M3 - Review article

C2 - 28828034

AN - SCOPUS:85027713022

SN - 1749-7922

VL - 12

JO - World Journal of Emergency Surgery

JF - World Journal of Emergency Surgery

IS - 1

M1 - 40

ER -

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this