Management of blunt splenic injury in children: evolution of the nonoperative approach.
Davies Dafydd A, Pearl Richard H, Ein Sigmund H, +2 more·Journal of pediatric surgery
BACKGROUND: Nonoperative management of blunt splenic injury (BSI) was first proposed at our institution in 1948. Since that time, treatment of patients with BSI has evolved from routine splenectomy to an aggressive spleen-preserving philosophy. This report summarizes our institutional experience for the last 50 years.…