Management Of Spleen Trauma In Damascus Hospital

Objective: Our study aims to study blunt and penetrating traumatic splenic injuries, their management methods (Surgical or conservative) and complications. Methods: A retrospective cohort study was conducted in the Department of Surgery at Damascus Hospital between 2015 and 2023. The study included all patients who suffered from penetrating and blunt traumatic splenic injury and were admitted to the surgery department. Data and information were tabulated using Excel spreadsheet program and then data were analyzed using SPSS-25. The results were compared with international studies according to mortality and morbidity rates perioperatively. Results: The study included 98 patients (mean age 19.03 years with standard deviation 17.46 years, male and female ratio 71.4% and 28.6% respectively), 99% of blunt injuries, 1% of penetrating injuries, most of the injuries were grade IV (45.6% of 22 patients), most of the injuries were isolated (92.9%), 86% of stable patients (n=86) were treated surgically (91.9% excisional surgery, 8.1% conservative surgery), and 14% of them were treated conservatively, most of the unstable patients were treated surgically (91.7% excisional treatment, 8.3% conservative surgery), mortality rate 11.2% of all patients. conclusion: Allocating a section in the emergency intensive care unit to follow up on patients with abdominal trauma, which is supervised and followed up by a specialized team that ensures close monitoring of the patient in the required manner, with the possibility of conducting radiological and laboratory investigations within this section at the required speed and at any time.