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설병룡,이병욱 대한외상학회 1992 大韓外傷學會誌 Vol.5 No.1
Until recently, total splenectomy has been considered as safe operation for splenic injuries under the misconception that the spleen can not heal spontaneously. Concurrent with the knowledge for immunologic function of spleen, a renewed interest has been evolved in the techniques of splenic salvage, including splenic repair, partial splenectomy and auto transplantation. Recently there has been also a trend toward non-operative treatment of splenic trauma in order to preserve splenic function whenever possible. Authors have reviewed 23 patients with splenic injury admitted to the Department of Surgery, Dae Dong General Hospital during 5-year period from 1987 to 1991. The patients were classified in accordance with Buntains system which defines four categories for the splenic injury. Among them, 5 patients were received total splenectomy, 9 patients partial splenectomy, 7 patients splenorrhaphy, and 2 patietns underwent nonoperative manage- ment. The results of this review are as follows: Splenic salvage procedures are suitable for splenic injury which would be classified I, II, III by Buntain method. And nonoperative treatment would be justified if the injured are hemodynamically stable, have no associated visceral injury and can be closely observed with imaging work including ultrasonogram or CT.