The conservative management of splenic trauma☆
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Cited by (183)
To save a child's spleen: 50 years from Toronto to ATOMAC
2019, Journal of Pediatric SurgeryCitation Excerpt :At the time, most general surgeons laughed at this suggestion. It was 3 years later, in 1971, that Douglas and Simpson's subsequent report truly began the shift in approach by the pediatric surgery world and provided an example of true differentiation of pediatric surgery from general surgery [16]. The authors reported a non-operative rate of 78% in 32 children with suspected spleen injury.
Long-term sustainability of Washington State's quality improvement initiative for the management of pediatric spleen injuries
2018, Journal of Pediatric SurgeryContrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization
2015, American Journal of SurgeryCitation Excerpt :This idea persevered because of the documented risks of overwhelming postsplenectomy sepsis, because of known operative morbidity and mortality, and with the observation by surgeons that most splenic bleeding had ceased by the time of operative intervention.10 Douglas et al in 1971 and later Ein et al in 1978 reported their initial series suggesting a decrease in blood transfusion requirement and decreased mortality associated with nonoperative protocols, further supporting the nonoperative approach to blunt splenic trauma.11,12 These initial experiences led to the implementation of NOM protocols for solid organ injuries in children by the American Pediatric Surgical Association trauma committee in 2000.
Reducing scheduled phlebotomy in stable pediatric patients with blunt liver or spleen injury
2014, Journal of Pediatric SurgeryHollow organ perforation in blunt abdominal trauma: The role of diagnostic peritoneal lavage
2012, American Journal of Emergency MedicineCitation Excerpt :However, the current management of abdominal trauma requires more than the detection of an injury. Based on experience in children, trends in the management of solid viscus injuries from abdominal trauma in adults have led to an emphasis on nonoperative treatment [6-10]. Malhotra et al [10] reported that more than 75% of blunt hepatic injuries can be treated nonoperatively.
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Presented before the American Pediatric Surgical Association, Hamilton, Bermuda, April 22–24, 1971.
- 1
Resident in Surgery, The Hospital for Sick Children, Toronto, Canada.
- 2
Associate, Department of Surgery, University of Toronto, and Associate Surgeon, The Hospital for Sick Children, Toronto, Canada.