TY  - JOUR
PY  - 2007//
TI  - Long-term outcome of nonoperative pediatric splenic injury management
JO  - Journal of pediatric surgery
A1  - Kristoffersen, Kristian W.
A1  - Mooney, D. P.
SP  - 1038
EP  - 41; discussion 1041
VL  - 42
IS  - 6
N2  - BACKGROUND: Nonoperative management (NOM) of blunt splenic trauma is the standard of care in hemodynamically stable children. The long-term risk of this strategy remains unknown. The object of this study was to investigate the incidence of long-term complications after NOM of pediatric splenic injury. METHODS: All children who underwent NOM for blunt splenic trauma over an 11-year period were identified. Patients were interviewed for any ailments that could be related to their splenic injury, and hospital data were analyzed. RESULTS: A total of 266 patients were identified, and 228 patients (86%) were interviewed. Mean follow-up time was 5 +/- 3 years. One patient had a delayed complication, a splenic pseudocyst. Pain more than 4 weeks after injury was unusual. Time until return to full activity varied broadly. CONCLUSION: The incidence of long-term complications after NOM of pediatric splenic injury was 1 (0.44%) in 228 patients. Nonoperative management of pediatric blunt splenic trauma in children is associated with a minimal risk of long-term complications.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3468
UR  - http://dx.doi.org/10.1016/j.jpedsurg.2007.01.039
ID  - ref1
ER  -