The management of @entity130 is still controversial, with an increasing trend toward non-operative treatment. The aim of this study was to assess for @entity1 with @entity130 , the treatment methods, the factors contributing in selecting appropriate management and the @entity1 outcomes. Between 1994 and 2003, 77 @entity1 were admitted and treated in our hospital for @entity130 . There were 69 blunt (89.61%) and 8 penetrating @entity130 (10.38%). Nineteen @entity1 were initially proposed for non-operative treatment, eventually only 5 @entity1 (16.49%) were successfully treated (success rate 26.31%). Splenic conservation was used in 6 @entity1 (7.79%; success rate 100%) and splenectomy on 66 @entity1 (85.71%). Indications for laparotomy were: hemodynamic instability (35 @entity1 ), @entity298 (9 @entity1 ) and the presence of hemoperitoneum and @entity130 (22 @entity1 ). Overall mortality was 7.79%, with 4 deaths in splenectomy group and 2 deaths in proposed non-operative group. In conclusion, conservative treatment of @entity130 can be performed with good results and an increasing number of @entity1 can be treated in this way. For this purpose are necessary a perfect selection of the @entity1 , a surgeon skilled in conservative splenic techniques and good techniques facilities.

[ XXXX to the spleen in adults].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritonitis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'splenic traumatic injuries', 'injuries', 'splenic injuries']
@entity130 :: (MESH:D014947,Disease) :: ['Traumatic injuries']
