Laparoscopic Splenectomy in Isolated High Grades Splenic Injuries

Zagazig University2 enrolled

Overview

Background: Trauma laparoscopic splenectomy has no defined reasons. Compared trauma patient characteristics and results with laparoscopic and open splenectomies. Methods: Patients aged 15 or older with blunt splenic injuries from January 2012 to July 2017 needed splenectomy. Demographics, splenic damage grade, approach (open or laparoscopic), surgery duration, intra-operative blood loss, transfusions, hospital stay, complications, and death were variables.

The spleen might be injured in left lower chest or upper abdomen trauma. Rib cage, diaphragm, pancreas, and bowel injuries may occur with splenic injuries. Hemodynamic instability, a rising heart rate, and low blood pressure are symptoms of damage, however the mechanism of injury requires a high index of suspicion.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Laparoscopic Surgery

Interventions

open splenectomyPROCEDURE

open splenectomy for treatment of splenic injury

laparoscopic splenectomy for splenic injury in traumaPROCEDURE

laparoscopy as a technique for removal of the spleen in injury

Eligibility

Sex: ALLMin age: 15 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * • At least 15 years old. * Male and female (not pregnant) patients; • Sonar and CT scans before surgery showed single splenic damage; Exclusion Criteria: * • Other damage to the abdomen, thorax, or nerves were found before surgery. * good use of non-surgical treatment or embolization * Woman who is pregnant. * Splenic cuts that go deep. * Previous surgery in the upper abdomen using a laparoscopic method. • Other injuries to the abdomen found during surgery, such as liver, intestine, or bladder injuries.

Outcomes

Primary Outcomes

mortality

during operation or immediate postoperative

Time frame: 1.5 years

Secondary Outcomes

intraoperative complications

Time frame: 5 years

Data from ClinicalTrials.gov

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