OUTCOME OF NON-OPERATIVE MANAGEMENT OF SPLENIC INJURY.

Background: The spleen is one of the most commonly injured organs following abdominal trauma. A widespread shift to non-operative management (NOM) for splenic injuries has been observed in most centers worldwide. Thus, the purpose of this study is to report our experience in treating patient with splenic injuries with NOM at a King Chulalongkorn Memorial Hospital. Objective: The aim of this study is to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in King Chulalongkorn Memorial Hospital. Materials and Methods: A retrospective study included all splenic injury patients admitted to King Chulalongkorn Memorial Hospital between January 2009 and January 2019. Results: A total of 106 patients were included, with a median age of 31.5 years. Of these, 91 patients (85.8%) had blunt injuries. Fifty-seven (59.8%) had high-grade injuries. A total of 43 (40.6%) patients were managed with observation, 1 (2.3%) patient had radiological intervention, 4 (3.7%) patients were managed with splenic salvage operation and 59 (55.7%) patients had splenectomy. Patients who died were significantly more likely to be multiple organ injuries. Conclusion: Splenic injuries have shown a steady increase in the last decade. Splenectomy rates have decreased in favor of non-operative techniques. Radiological intervention with splenic artery embolization was successful in all selected patients with high-grade injuries. [ABSTRACT FROM AUTHOR]