To save a child's spleen: 50 years from Toronto to ATOMAC.

Abstract:

:Pediatric surgeons brought forth non-operative treatment for children with blunt spleen injury more than 50 years ago. At the time, this proposal was deemed reckless by many adult surgeons, and debate ensued for decades. Despite criticisms, pediatric surgeons refined the clinical pathways for children with spleen injury leading to current safe and efficient outcomes. These outcomes are defined by rare splenectomies, few blood transfusions, and short length of hospital stay. This review will address the role of the spleen through historical perceptions and scientific evidence. In addition, evolution of contemporary clinical pathways will be outlined.

journal_name

J Pediatr Surg

authors

Stylianos S

doi

10.1016/j.jpedsurg.2018.10.026

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

9-15

issue

1

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(18)30644-4

journal_volume

54

pub_type

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