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Iatrogenic splenic injury: review of the literature and medico-legal issues
Introduction: Iatrogenic splenic injury is a recognized complication in abdominal surgery. The aim of this paper is to understand the medico-legal issues of iatrogenic splenic injuries. We performed a literature review on PubMed and Scopus using iatrogenic splenic or spleen injury and iatrogenic spl...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
De Gruyter Open
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5329846/ https://www.ncbi.nlm.nih.gov/pubmed/28352813 http://dx.doi.org/10.1515/med-2016-0059 |
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author | Feola, Alessandro Niola, Massimo Conti, Adelaide Delbon, Paola Graziano, Vincenzo Paternoster, Mariano Pietra, Bruno Della |
author_facet | Feola, Alessandro Niola, Massimo Conti, Adelaide Delbon, Paola Graziano, Vincenzo Paternoster, Mariano Pietra, Bruno Della |
author_sort | Feola, Alessandro |
collection | PubMed |
description | Introduction: Iatrogenic splenic injury is a recognized complication in abdominal surgery. The aim of this paper is to understand the medico-legal issues of iatrogenic splenic injuries. We performed a literature review on PubMed and Scopus using iatrogenic splenic or spleen injury and iatrogenic splenic rupture as keywords. Iatrogenic splenic injury cases were identified. Most cases were related to colonoscopy, but we also identified cases related to upper gastrointestinal procedures, colonic surgery, ERCP, left nephrectomy and/or adrenalectomy, percutaneous nephrolithotomy, vascular operations involving the abdominal aorta, gynecological operation, left lung biopsy, chest drain, very rarely spinal surgery and even cardiopulmonary resuscitation. There are several surgical procedures that can lead to a splenic injury. However, from a medico-legal point of view, it is important to assess whether the cause can be attributed to a technical error of the operator rather than being an unpredictable and unpreventable complication. It is important for the medico-legal expert to have great knowledge on iatrogenic splenic injuries because it is important to evaluate every step of the first procedure performed, how a splenic injury is produced, and whether the correct treatment for the splenic injury was administered in a judgment. |
format | Online Article Text |
id | pubmed-5329846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | De Gruyter Open |
record_format | MEDLINE/PubMed |
spelling | pubmed-53298462017-03-28 Iatrogenic splenic injury: review of the literature and medico-legal issues Feola, Alessandro Niola, Massimo Conti, Adelaide Delbon, Paola Graziano, Vincenzo Paternoster, Mariano Pietra, Bruno Della Open Med (Wars) Focus on Medico-Legal and Ethical Topics in Surgery in Italy Introduction: Iatrogenic splenic injury is a recognized complication in abdominal surgery. The aim of this paper is to understand the medico-legal issues of iatrogenic splenic injuries. We performed a literature review on PubMed and Scopus using iatrogenic splenic or spleen injury and iatrogenic splenic rupture as keywords. Iatrogenic splenic injury cases were identified. Most cases were related to colonoscopy, but we also identified cases related to upper gastrointestinal procedures, colonic surgery, ERCP, left nephrectomy and/or adrenalectomy, percutaneous nephrolithotomy, vascular operations involving the abdominal aorta, gynecological operation, left lung biopsy, chest drain, very rarely spinal surgery and even cardiopulmonary resuscitation. There are several surgical procedures that can lead to a splenic injury. However, from a medico-legal point of view, it is important to assess whether the cause can be attributed to a technical error of the operator rather than being an unpredictable and unpreventable complication. It is important for the medico-legal expert to have great knowledge on iatrogenic splenic injuries because it is important to evaluate every step of the first procedure performed, how a splenic injury is produced, and whether the correct treatment for the splenic injury was administered in a judgment. De Gruyter Open 2016-08-02 /pmc/articles/PMC5329846/ /pubmed/28352813 http://dx.doi.org/10.1515/med-2016-0059 Text en © 2016 Alessandro Feola et al. http://creativecommons.org/licenses/by-nc-nd/3.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. |
spellingShingle | Focus on Medico-Legal and Ethical Topics in Surgery in Italy Feola, Alessandro Niola, Massimo Conti, Adelaide Delbon, Paola Graziano, Vincenzo Paternoster, Mariano Pietra, Bruno Della Iatrogenic splenic injury: review of the literature and medico-legal issues |
title | Iatrogenic splenic injury: review of the literature and medico-legal issues |
title_full | Iatrogenic splenic injury: review of the literature and medico-legal issues |
title_fullStr | Iatrogenic splenic injury: review of the literature and medico-legal issues |
title_full_unstemmed | Iatrogenic splenic injury: review of the literature and medico-legal issues |
title_short | Iatrogenic splenic injury: review of the literature and medico-legal issues |
title_sort | iatrogenic splenic injury: review of the literature and medico-legal issues |
topic | Focus on Medico-Legal and Ethical Topics in Surgery in Italy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5329846/ https://www.ncbi.nlm.nih.gov/pubmed/28352813 http://dx.doi.org/10.1515/med-2016-0059 |
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