| Summary: | Background. The purpose of the research is to determine the selection of surgical
tactics for closed spleen injury, depending on the severity of the condition at the
time of admission.
Materials and methods. The work carried out a retrospective analysis of the
course of the immediate postoperative period of 126 patients with closed spleen injuries
who were treated in the emergency surgery unit. Of the total number of patients,
males prevailed – 89 (70.6%), women – 37 (29.4%). The study included patients
of both sexes with closed abdominal injuries accompanied by concomitant or
closed spleen injuries; the age of the patients was 18–55 years old. Patients under 18
and over 55 with brain and spinal cord injuries were not included. Considering that,
the main of the leading factors influencing the course of the immediate postoperative
period in such patients is the time factor, i.e. the time of delivery to the medical
institution from the moment of injury. All patients were divided into two groups:
group A - the time of delivery to the medical institution did not exceed one hour
from the moment of injury. This group was divided into two subgroups: А1 – closed
injuries and А2 – combined injuries. The second group, Group B, included patients
whose delivery time exceeded one hour, which were also divided into two subgroups:
B1 – closed injuries and B2 – combined injuries. For spleen injuries, three
types of operations were used: splenectomy according to the generally accepted
technique, autolentransplantation by transplanting a piece of spleen 1.5 cm2 into the
tissue of the greater omentum, and organ-preserving operations using a tachocomb.
Conclusion. Based on the presented data, it was concluded that the choice of
surgical treatment for spleen injury is influenced by the following factors: the nature
of the injury, the delivery time from the moment of injury, and the state at the time
of admission.
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