Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes
Modify Your Subscription

Modify

Home > List Archives

Primary splenectomy for major splenic injury?

Avi Roy Shapira avir at bgumail.bgu.ac.il
Tue Apr 18 08:06:27 BST 2006


Sal, 

You may have similar success without embolization and embolization is not
innocent.  

I think that you have very good ethicla basis for doing a comperative
trial. 

Avi 


On Fri, 14 Apr 2006 SJASMD at aol.com wrote:

>  
> KARIM
> i understand the dilmena and it was once suggested to me that we create a  
> controlled study but given the results we have had, it seemed unethical to  
> subject someone to a study given our success and thus we are unwilling to do a  
> randomized study
>  
> sal
>  
> In a message dated 4/13/2006 6:02:09 A.M. Eastern Standard Time,  
> karim at trauma.org writes:
> 
> 
> 
> STABLE PATIENT, MAJOR INJURY
> PROXIMAL SPLENIC ARTERY  EMBOLIZATION IS AS EFFECTIVE AS SPLENECTOMY WITH  
> LESS TRANSFUSION  AND LESS MORBIDITY
> SAL
> 
> Sal,
> 
> You may be right, but I don't  think we have hard data to support this - I 
> have not seen any trials that  aren't cohort studies with
> historical controls.  Also it's clear that  we don't yet know which injuries 
> we should and should not be  embolizing.
> 
> Karim
> 
> 
> 
> 
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
> 

==========================================================================
Aviel Roy-Shapira, M.D.              Soroka University Hospital &
Dept. of Surgery A. and              Ben-Gurion University Medical School 
the Critical Care Unit               POB 151, Beer Sheva, Israel
 
email:avir at bgumail.bgu.ac.il         Fax:972-7-6403260 voice:972-7-6403390





More information about the trauma-list mailing list