What does this research mean for the field?

Non-operative management is a highly successful and increasingly preferred approach for blunt splenic trauma, with surgical intervention primarily reserved for hemodynamically unstable patients and splenic embolization serving as an effective preservation strategy. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the 10-year institutional outcomes of blunt splenic trauma management and synthesize global evidence on conservative and surgical treatment patterns.

August 23, 2026Folia MedicaOpen Access

Management of blunt splenic trauma: a 10-year single-center retrospective cohort study and systematic review

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Authors

AEAnna EleftheriouGeneral Hospital of Nikea VPVasiliki PapandreadiNational and Kapodistrian University of Athens IKIlektra KyrochristouGeneral Hospital of Nikea

Discussion

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Implication

Retrospective cohort study and systematic review reveals high non-operative success rates in blunt splenic trauma, highlighting the growing preference for organ preservation over splenectomy.

Key Points

To describe the 10-year institutional outcomes of blunt splenic trauma management and synthesize global evidence on conservative and surgical treatment patterns.
Retrospective cohort analysis of registry data from 68 patients with splenic trauma treated at a single center between 2014 and 2024.
Systematic review of literature across PubMed, Scopus, and the Cochrane Library identifying 17 studies encompassing 5,137 patients.
In the institutional cohort (N=68), non-operative management was utilized in 42 patients with a 95.2% success rate (2 failures), while 26 underwent splenectomy.
Institutional platelet counts differed significantly on days 5 and 10 between grade II and grade V injuries (day 5: p=0.00056; day 10: p=0.0118) and grades III and V (day 5: p=0.01; day 10: p=0.01), with grade V peaking at day 10.
The systematic review (17 studies, N=5,137) revealed non-operative management in 60.5% of cases with success rates ranging from 76% to 100%, emphasizing splenic embolization for organ preservation.

Cite This Study

Eleftheriou et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad417677a34114445751 https://doi.org/10.3897/folmed.68.e170937

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Implication

Retrospective cohort study and systematic review reveals high non-operative success rates in blunt splenic trauma, highlighting the growing preference for organ preservation over splenectomy.

Management of blunt splenic trauma: a 10-year single-center retrospective cohort study and systematic review

Discussion

Member takes

Implication

Key Points

Cite This Study

Management of blunt splenic trauma: a 10-year single-center retrospective cohort study and systematic review

Discussion

Member takes

Implication

Key Points

Cite This Study

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