MANAGEMENT AND PREVALENCE OF SPLENIC TRAUMA IN ACCORDANCE TO GRADE AND MODE OF PRESENTATION

Objective: To investigate the prevalence and management of splenic trauma based on mode and degree. Study Design: A prospective descriptive study. Place and duration: In the Surgical Department, Jinnah Hospital Lahore for one year duration from December 2016 to December 2017. Methodology: All cases presenting with abdominal trauma and splenic injury to the emergency department. The data of all patients with splenic trauma were formulated and analyzed. Results: A total of 44 patients between 20 and 40 years of age presenting with splenic lesion; 32 (72.7%) were male. Closed abdominal injury (50%) and most patients (47%) had grade III injuries. Splenectomy was performed in 84% of patients and splenic recovery was performed in 9%. Seven (15.9%) patients with splenectomy died in the series. Conclusion: Splenic injury was mainly caused by closed abdominal trauma. Accurate assessment of the degree of injury during laparoscopy resulted in more splenic recovery procedures with less risk of complications.