Splenic Implant Assessment in Trauma

Trauma is a global health issue, being the 4th death cause aftercardio-vascular disease, malignancies and chronic pulmonarydiseases and the main death cause among young people, under45 years (1). The frequency of abdominal trauma is 10-12% ofall polytrauma, and from all abdominal organs, the spleen andliver are the most often involved in polytraumatized patientscase (2). The first purpose of a successful operational managementis the control of active bleeding, and the second is preservingas much as possible of the destroyed organs. Over thelast decades, the treatment of spleen traumas had been diversified,from nonsurgical treatment to surgical, also complex anddiversified: from conservative treatment to splenectomy.Currently, from a therapeutic standpoint, the trends in spleentrauma are orientated towards conservative methods as theclinical and experimental data have shown that “it is betterwith the entire spleen than part of it, and better with a part ofit than with none at all” (Raymond Hinshaw) (3).

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