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Ignat’ev V.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Oleynik A.V.

Vernadsky Crimean Federal University

Muraviev A.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Garapov T.A.

Sevastopol City Hospital No. 1

Dankova I.I.

Sevastopol City Hospital No. 1

Tishukov M.Yu.

Georgievsky Medical Academy

Treatment of children with blunt spleen injury throughout 25-year period in Sevastopol and the Republic of Crimea

Authors:

Ignat’ev V.V., Oleynik A.V., Muraviev A.V., Garapov T.A., Dankova I.I., Tishukov M.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(2): 67‑76

DOI: 10.17116/hirurgia202502167

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Table of contents

TREATMENT OF CHILDREN WITH BLUNT SPLEEN INJURY THROUGHOUT 25-YEAR PERIOD IN SEVASTOPOL AND THE REPUBLIC OF CRIMEA
TREATMENT OF CHILDREN WITH BLUNT SPLEEN INJURY THROUGHOUT 25-YEAR PERIOD IN SEVASTOPOL AND THE REPUBLIC OF CRIMEA

To cite this article:

Ignat’ev VV, Oleynik AV, Muraviev AV, Garapov TA, Dankova II, Tishukov MYu. Treatment of children with blunt spleen injury throughout 25-year period in Sevastopol and the Republic of Crimea. Pirogov Russian Journal of Surgery. 2025;(2):67‑76. (In Russ.)
https://doi.org/10.17116/hirurgia202502167

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

This study examines methods of treatment of pediatric patients with blunt splenic injury (BSI) in medical institutions in the city of Sevastopol and the Republic of Crimea. The effectiveness of non-operative management (NOM) in patients with BSI of varying AAST injury grade was assessed and risk factors which could predict the need for operative management (OM) were identified.

MATERIAL AND METHODS

A two-center retrospective cohort study was performed, in which reviewed the medical records of children diagnosed with BSI between 1996 and 2023. A cohort of patients hospitalized since the start of the active use of NOM of BSI was identified to determine risk factors.

RESULTS

The study included 112 patients. The mean age was 9.9±3.6 years, with a predominantly male (72%) population. In 64% of cases, the injury mechanism of BSI was a fall from a height. 26% of patients were hemodynamically unstable. Among the cohort of patients hospitalized since the start of the active use of NOM of BSI, NOM was effective in 94% of patients with low or moderate AAST injury grade, and in 56% of patients with high AAST injury grade. According to the study results, the risk factors that determine the indications for OM in this cohort of patients are BSI of high AAST injury grade (OR 20.0; 95% CI 2.7—53; p<0.01), hemoperitoneum volume >500 ml according to ultrasound and/or CT (OR 15.0; 95% CI 2.3—98; p< 0.01), Hb <92.5 g/l (OR 20.0; 95% CI 1.9—219; p=0.01), hemodynamic instability (OR 5.4; 95% CI 1.4—21; p=0.02).

CONCLUSION

NOM is an effective treatment for BSI of any AAST injury grade. The decision about OM should be based on haemodynamic instability.

Keywords:

blunt splenic trauma
paediatric
non-operative management
splenectomy
risk factors

Authors:

Ignat’ev V.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Oleynik A.V.

Vernadsky Crimean Federal University

Muraviev A.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Garapov T.A.

Sevastopol City Hospital No. 1

Dankova I.I.

Sevastopol City Hospital No. 1

Tishukov M.Yu.

Georgievsky Medical Academy

Received:

07.04.2024

Accepted:

26.04.2024

Close metadata

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