Episode 13 - "Modern Splenic Trauma Management: From Preservation to Precision Surgery"
Update: 2025-06-01
Description
🎙️ Episode Title:
Modern Splenic Trauma Management: From Preservation to Precision
📝 Episode Description (English):
In this episode of the Master General Surgery – Trauma Series, we explore the evolving landscape of splenic trauma management in both adults and children. Based on recent literature and a high-stakes pediatric case presented during a trauma conference, this discussion highlights the shift toward nonoperative management (NOM), the expanding role of angioembolization, and the critical indications for surgical intervention.
We dive deep into:
🧠 Take-Home Messages:
• NOM is the standard for most hemodynamically stable patients
• Splenic preservation reduces the risk of immunologic complications
• AE is an essential adjunct, but indications must be individualized
• Children have high NOM success—but instability always outweighs imaging
• Clinical judgment and trauma leadership remain the backbone of decision-making
📡 Available now on all major podcast platforms and in the Google Classroom of the Abdominal Wall and Content Group at Hospital das Clínicas – University of São Paulo.
🙏 Don’t forget to follow and share this episode with colleagues and trauma teams!
Modern Splenic Trauma Management: From Preservation to Precision
📝 Episode Description (English):
In this episode of the Master General Surgery – Trauma Series, we explore the evolving landscape of splenic trauma management in both adults and children. Based on recent literature and a high-stakes pediatric case presented during a trauma conference, this discussion highlights the shift toward nonoperative management (NOM), the expanding role of angioembolization, and the critical indications for surgical intervention.
We dive deep into:
- The updated AAST-OIS 2018 classification for splenic injury
- The immunological importance of the spleen and risks of OPSI
- How to interpret imaging findings (FAST vs. CT vs. blush)
- Indications for splenectomy and splenorrhaphy
- Pediatric-specific considerations: higher NOM success, lower AE use
- A real-life case of pediatric multisystem trauma requiring splenectomy
- Post-splenectomy care and vaccination timing
- Areas of ongoing research: pseudoaneurysms, prophylactic AE, VTE prevention
🧠 Take-Home Messages:
• NOM is the standard for most hemodynamically stable patients
• Splenic preservation reduces the risk of immunologic complications
• AE is an essential adjunct, but indications must be individualized
• Children have high NOM success—but instability always outweighs imaging
• Clinical judgment and trauma leadership remain the backbone of decision-making
📡 Available now on all major podcast platforms and in the Google Classroom of the Abdominal Wall and Content Group at Hospital das Clínicas – University of São Paulo.
🙏 Don’t forget to follow and share this episode with colleagues and trauma teams!
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