Evolution of the present-day policy of conservative management of @entity397 has been hailed as one of the most notable advances in pediatric surgery. Until 1971, routine splenectomy used to be the sacrosanct treatment for @entity130 . It was universally believed that non-operative management carried a high mortality of 90 to 100%. Sporadic reports of successful conservative treatment appeared in the early twentieth century, but regrettably, these were ignored. Likewise, experimental studies pointing to the danger of post-splenectomy sepsis were also disregarded. Dominant surgical opinion continued to practice removal of the injured spleen. In 1968, Upadhyaya and Simpson, based on a well-designed clinical analysis of 52 @entity1 made a convincing plea for conservative management. In 1971, Upadhyaya et al. presented results of a corroborative experimental study, which provided the conclusive evidence that isolated splenic tears are well tolerated and heal spontaneously by first intention. Seeing the surge of publications that followed this presentation, it becomes apparent that this study constituted the real turning point that changed the world opinion in favour of salvage of the @entity397 . By 1979, numerous authors had reported the safety of non-operative management in hundreds of @entity1 all over the world. Currently, the policy of routine splenectomy has been universally abandoned; and the reported salvage rate of @entity397 is more than 90%. This paper traces the historical perspectives in the management of injured spleen from the times of Aristotle to the present day.

Conservative management of XXXX : history and current trends.

@entity1 :: ('9606', 'Species') :: ['children'] @entity397 :: ('MESH:D012421', 'Disease') :: ['ruptured spleen'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic trauma']
@entity130 :: (MESH:D014947,Disease) :: ['splenic trauma']
