Asst Prof, Department of General Surgery, MRIMS, Hyderabad, Telangana, India.

Assoc Prof, Department of General Surgery, MRIMS, Hyderabad, Telangana, India.

Assoc Prof, Department of General Surgery, MRIMS, Hyderabad, Telangana, India.

Asst Prof, Department of General Surgery, MRIMS, Hyderabad, Telangana, India.
NOM (Non Operative Management) , CECT (Contrast Enhanced Computer Tomography) ,Splenectomy ,

The aims of the study are to evaluate the effectiveness of conservative treatment in splenic injury, to evaluate Non-operative management (NOM) of splenic injury in terms of its safety, morbidity, mortality and total hospital stay and to evaluate various methods of spleen preserving surgeries. In this study 25 patients were included who were admitted in surgical wards of MRIMS, Hyderabad during the period of January-2013 to March-2015. Out of 25 patients, 23 patients were initially treated with NOM and 2 patients were taken for immediate splenectomy. Patients with Grade IV splenic injury were subjected to immediate laparotomy. Average blood transfusion requirement in patients subjected to NOM was 1.09 per patient, whereas it was 5 for splenectomy patients and 3 for conservative salvage operation. Complication rate was 50% in operative group and 4.54% in NOM group

5 , 10 , 2015