The question of non-operative treatment of trauma of the spleen
The Spleen Injury (SI) makes from 16 to 50% among closed abdominal injuries. The main method of treatment of the SI at the present stage in the Russian Federation is splenectomy. More and more modern world researches discuss non - operative treatment of SI - «non-operative management» (NOM) as the main alternative approach to treatment of hemodynamically stable patients with SI. The clinical case of treatment of the patient with the isolated SI who came to a hospital in 10 days after a trauma is described. Ultrasonography, CTof an abdominal cavity is diagnosed a hematoma of a spleen of the II degree of AAST. Diagnostic laparoscopy showed absence of bleeding, splenectomy not performed. The patient was written out in a satisfactory condition. This clinical observation shows the possibility of successful application of the NOM approach in SI. Such method allows to save an important organ for the body. However, the development of more accurate algorithms of application of a technique of NOM for patients with the SI is required.