Articles Vol. 64 No. 5 23/08/2023

10. RESULTS OF SPLENECTOMY FOR BLUNT SPLENIC INJURY AT MILITARY HOSPITAL 103

Van Nguyen Huu1,2, Cuong Pham Manh3,4, Thanh Lai Ba3,4, Thanh Ho Chi3,4
1 Military Medical University
2 Học Viện Quân y
3 Military Hospital 103
4 Bệnh viện Quân y 103
Corresponding author: hochithanhbv103@gmail.com
DOI: 10.52163/yhc.v64i5.766
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Abstract

Objective: Splenic rupture is a common injury in blunt abdominal trauma, which often appear in multiple trauma. The disease is usually severe with high mortality risk.

Aim: Study the results of splenectomy to treat splenic rupture due to trauma.

Subjects and methods: A prospective and cross-sectional study on 58 of blunt splenic patients undergoing splenectomy at Military Hospital 103 from January 2019 to June 2023.

Results: Studied 58 patients with splenic rupture underwent splenectomy, emergency surgical indication was 41.4%; Grade III, Grade IV, grade V of splenic injury was 3.4%; 77.6%; 18.9%. Pancreas was the most combined injured organ with 25.9% while left kidney rupture was 3.4% and jejunal rupture was 1.7%. Postoperative complications encountered 20.68%, of which pancreatic fistula, residual abscess, deep vein thrombosis was 13.8%; 1.7%; 1.7%. The good postoperative outcome was 86.2%, the average was 8.6%, 3 patients had severe development and death was 5.2%. There were significant relationship between treatment results, surgical indications and combined intra-abdominal injuries with p < 0.05.

Conclusion: Immediate emergency and emergency splenectomy were 41.4% and 58.6%, good postoperative results was 86.2%. Blunt abdominal trauma with splenic rupture often damages the combined organs such as pancreas, kidney and jejunum, requiring early diagnosis and prompt surgery to reduce the risk of complications.

Keywords
Blunt splenic injury, abdominal trauma, splenectomy.
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