{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T09:23:48Z","timestamp":1787217828389,"version":"build-2736575974"},"reference-count":36,"publisher":"Pensoft Publishers","issue":"4","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Aim<\/jats:bold>\n                    : Describe the management of blunt splenic trauma in a 10-year period in our department and perform a systematic review of the relevant literature.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Materials and methods<\/jats:bold>\n                    : Retrospective analysis of registry data from patients with splenic injury from 2014 to 2024 and systematic review of the publications in PubMed, Scopus and the Cochrane Library.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Sixty-eight patients, 58 males and 10 females with a mean age of 42 years, were included. Sixteen were grade I, 14 grade II, 12 grade III, 6 grade IV, and 20 grade V. Forty-two patients were treated non-operatively, and 26 underwent splenectomy. Two patients failed the non-operative management (NOM) (95.2% success rate). An increasing tendency for the number of platelets was noted. A statistically significant difference on days 5 and 10 between grade II and grade V (\n                    <jats:italic>p<\/jats:italic>\n                    =0.00056 and\n                    <jats:italic>p<\/jats:italic>\n                    =0.0118, respectively) and grades III and V (\n                    <jats:italic>p<\/jats:italic>\n                    =0.01 and\n                    <jats:italic>p<\/jats:italic>\n                    =0.01) was found, with grade V platelet count peaking on day 10.\n                  <\/jats:p>\n                  <jats:p>In our qualitative synthesis, 17 studies were included, with 5137 patients, mostly males with a mean age of 37 years. 1189 were grade I and II, and 2916 were grade \u22653. A significant shift towards NOM has been noted (60.5%, with success rates ranging from 76% to 100%). A preference for splenic preservation over splenectomy, which may be achieved with embolization, is indicated. Clinical and laboratory evaluation should be carefully conducted when considering splenic embolization.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : A shift towards NOM is noticed with surgical intervention restricted for hemodynamically unstable patients. Splenic embolization is an effective alternative which may be used to further establish non-surgical management.\n                  <\/jats:p>","DOI":"10.3897\/folmed.68.e170937","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:26:02Z","timestamp":1787214362000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of blunt splenic trauma: a 10-year single-center retrospective cohort study and systematic review"],"prefix":"10.3897","volume":"68","author":[{"given":"Anna","family":"Eleftheriou","sequence":"first","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Papandreadi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilektra","family":"Kyrochristou","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Filiates, Thesprotia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeliki","family":"Papadopoulou","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaak","family":"Dimitriadis","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Anagnostopoulos","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Rogdakis","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, General Hospital of Nikaia and Piraeus Agios Panteleimon, Nikaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"170937_B1","doi-asserted-by":"crossref","unstructured":"Halvachizadeh S, Mariani D, Pfeifer R. 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