Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence

Splenectomy indications are hematologic disease, traumatic damage and iatrogenic injury. The aim of this study was to present an evidence-based overview of some clinical aspects of interest related with iatrogenic splenic injury and subsequent splenectomy. An overview of the available evidence was c...

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Autores principales:	Manterola,Carlos, Otzen,Tamara
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2016
Materias:	"Splenectomy" "Digestive System Surgical Procedures" Gastrointestinal Surgical Procedures antireflux surgery postoperative morbidity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400058
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spelling	oai:scielo:S0717-950220160004000582017-02-01Incidental Splenic Injury and Splenectomy: An Overview Based on Available EvidenceManterola,CarlosOtzen,Tamara "Splenectomy" "Digestive System Surgical Procedures" Gastrointestinal Surgical Procedures antireflux surgery postoperative morbidity Splenectomy indications are hematologic disease, traumatic damage and iatrogenic injury. The aim of this study was to present an evidence-based overview of some clinical aspects of interest related with iatrogenic splenic injury and subsequent splenectomy. An overview of the available evidence was conducted. Articles that evaluated clinical aspects of interest related with iatrogenic splenic injury and subsequent splenectomy, without language limits, publication date and designs. BVS, PubMed, SciELO and TRIP databases were reviewed. Evaluated variables were: Frequency and etiology of surgical spleen injuries, treatment options, frequency of splenectomy, associated postoperative morbidity (POM) and mortality, recommendation for splenectomy. Classification of the available evidence was made using the classification proposed by Oxford Centre of Evidence-based Medicine. 1144 records were obtained. 1109 were discarded for not meeting eligibility criteria, or were not relevant for the purpose of this research. Finally, the study consisted of 35 articles, 3 of evidence level type 3a, 31 of evidence level type 4 and 1 of evidence level type 5. Splenectomy is a complication of common abdominal procedures, prevalence and incidence of iatrogenic splenic injury is underestimated because of lack of information, there is evidence of risk factors of surgical spleen injuries, the etiology of surgical spleen injuries are bariatric, esophago-gastric, antireflux, colorectal, abdominal vascular and urological procedures. POM in patients undergoing splenectomy is more frequent in emergency splenectomy secondary to trauma. There was no significant risk reduction of infectious complications after implementation of routine vaccination. Available evidence is based on few and heterogeneous articles, which make a meaningful conclusions difficult. Studies with better evidence levels, methodological quality and population size are needed for conclusions and recommendations.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.4 20162016-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400058en10.4067/S0717-95022016000400058
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	"Splenectomy" "Digestive System Surgical Procedures" Gastrointestinal Surgical Procedures antireflux surgery postoperative morbidity
spellingShingle	"Splenectomy" "Digestive System Surgical Procedures" Gastrointestinal Surgical Procedures antireflux surgery postoperative morbidity Manterola,Carlos Otzen,Tamara Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
description	Splenectomy indications are hematologic disease, traumatic damage and iatrogenic injury. The aim of this study was to present an evidence-based overview of some clinical aspects of interest related with iatrogenic splenic injury and subsequent splenectomy. An overview of the available evidence was conducted. Articles that evaluated clinical aspects of interest related with iatrogenic splenic injury and subsequent splenectomy, without language limits, publication date and designs. BVS, PubMed, SciELO and TRIP databases were reviewed. Evaluated variables were: Frequency and etiology of surgical spleen injuries, treatment options, frequency of splenectomy, associated postoperative morbidity (POM) and mortality, recommendation for splenectomy. Classification of the available evidence was made using the classification proposed by Oxford Centre of Evidence-based Medicine. 1144 records were obtained. 1109 were discarded for not meeting eligibility criteria, or were not relevant for the purpose of this research. Finally, the study consisted of 35 articles, 3 of evidence level type 3a, 31 of evidence level type 4 and 1 of evidence level type 5. Splenectomy is a complication of common abdominal procedures, prevalence and incidence of iatrogenic splenic injury is underestimated because of lack of information, there is evidence of risk factors of surgical spleen injuries, the etiology of surgical spleen injuries are bariatric, esophago-gastric, antireflux, colorectal, abdominal vascular and urological procedures. POM in patients undergoing splenectomy is more frequent in emergency splenectomy secondary to trauma. There was no significant risk reduction of infectious complications after implementation of routine vaccination. Available evidence is based on few and heterogeneous articles, which make a meaningful conclusions difficult. Studies with better evidence levels, methodological quality and population size are needed for conclusions and recommendations.
author	Manterola,Carlos Otzen,Tamara
author_facet	Manterola,Carlos Otzen,Tamara
author_sort	Manterola,Carlos
title	Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
title_short	Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
title_full	Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
title_fullStr	Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
title_full_unstemmed	Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence
title_sort	incidental splenic injury and splenectomy: an overview based on available evidence
publisher	Sociedad Chilena de Anatomía
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400058
work_keys_str_mv	AT manterolacarlos incidentalsplenicinjuryandsplenectomyanoverviewbasedonavailableevidence AT otzentamara incidentalsplenicinjuryandsplenectomyanoverviewbasedonavailableevidence
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Incidental Splenic Injury and Splenectomy: An Overview Based on Available Evidence

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