2023 Volume 59 Issue 4 Pages 755-763
Purpose: To analyze the appropriate bed rest period and examination schedule determined according to the classification of organ injury by the Japanese Association of the Surgery of Trauma, applied to the children with traumatic splenic injury treated with NOM.
Methods: There were 11 children under 16 years old, diagnosed traumatic splenic injury from 2010 to 2019. All the children were hemodynamically stable and managed non-operatively in our hospital. We retrospectively analyzed the clinical findings, including the mechanisms of trauma, the classification of trauma, combined injuries, the number of CTs, the necessity of blood transfusion, the presence of delayed splenic rupture and pseudoaneurysms, the necessity of surgery or TAE, the duration of bed rest, the duration of hospitalization and outcomes, of these children.
Results: The mechanisms of trauma included fall, sports and traffic accident. The grade IIIb was most common. The number of contrast-enhanced CTs during hospitalization ranged 3 to 7 times. The median period of bedrests was 16 days ranging 14 to 21 days. The median period of hospitalization was 25 days ranging 21 to 43 days. There were no cases having delayed splenic rupture or pseudoaneurysms and no cases requiring blood transfusion, TAE or surgery. All the cases discharged alive.
Conclusion: The results of the NOM with the bed rest management and examination schedule performed in our hospital were good.
