Traumatic Injury of Spleen:Laparoscopic Splenectomy Vs Splenic Artery Embolization

N/AActive Not RecruitingNCT07274007

Zagazig University24 enrolled

Overview

The goal of this clinical trial is selection of the best method in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients thus improving the quality of life and clinical outcome. The main questions it aims to answer are 1. Assess the quality of life and clinical outcome after using laparoscopic Splenectomy in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients 2. Assess the quality of life and clinical outcome after using Splenic Artery Embolization in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients Researchers will compare the quality of life and clinical outcome to see if it is better using laparoscopic Splenectomy Splenic Artery Embolization Participants will underwent laparoscopic Splenectomy or Splenic Artery Embolization and will undwent post operative follow up, follow up at outpatient clinic and will be asked about changes occurring to their daily life social activities and their quality of life

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Grade III Traumatic Splenic Injury in Hemodynamically Stable Patients

Interventions

Eligibility

Sex: ALLMin age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged above 12 years at time of screening. * Patients diagnosed with grade three traumatic Splenic Injury Exclusion Criteria: * Patients aged less than 12 years at time of screening . * Patients diagnosed with associated visceral injury such as "liver,kidney,bowel, etc..". * Patients diagnosed with isolated splenic injury after trauma other than grades III * Patients contraindicated for radiological investigations or splenic artery embolization using interventional radiology such as pregnany

Outcomes

Primary Outcomes

Number of participants with clinical complications: as pain, fever, leucocytosis, vomiting, or illeus.

Number of participants with clinical complications: like Pain, fever, leucocytosis, vomiting, or illeus.

Time frame: 6 months

Secondary Outcomes

Recovery time: Length of postoperative hospital stay in days.

Time frame: 6 months.

Measuring post operative pain severity using pain severity score.

Measuring post operative pain severity using pain severity score. Minimum score =1. Maximum score= 10. The lower the score the better the outcome.