Invited Critique
Apr 2012

Splenic Injury During Colon SurgeryComment on “Predictive Factors of Splenic Injury in Colorectal Surgery”

Author Affiliations

Author Affiliations: Department of Surgery, Medical College of Wisconsin, Milwaukee.

Arch Surg. 2012;147(4):329-330. doi:10.1001/archsurg.2011.1545

The significance of splenic injury and subsequent splenectomy during colon surgery has been well documented,1,2 and the measures taken to avoid injury are worth considering. Using a large administrative database (ie, the National Inpatient Sample), Masoomi and colleagues3 examine factors associated with splenic injury during colorectal surgery. Their study confirms the previously published rates of splenic injury during these procedures and reaffirms the factors associated with splenic injury. Defining the rates of splenic injury and splenectomy is important for preoperative patient consultation, and understanding and identifying the factors associated with this injury are the first steps toward improving care.

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