Luca Giovanni Antonio Pivetta, Pedro DE Souza Lucarelli Antunes, Juliana Oliveira DE Miranda, Daniel Fonseca Rohrs, Timoteo Vilela Veríssimo, Luis Fernando Rosati Rocha, Ana Gabriela DE Queiroz Figueiredo, Joao Pedro Feu Soares, Filipe Moreira DE Andrade, Márcio Ramisio Norberto DE Moura, Rodrigo Gonçalves DE Oliveira, Ricardo Alessandro Teixeira Gonsaga, Tercio DE Campos
The splenic injuries are frequent among victims of blunt trauma, and the most appropriate approach must be based on the physiological status and anatomical complexity of the lesions balance. The alternatives must balance, in stable patients without peritonitis, the simplicity and prompt resolution of splenectomy and the potential complications and immunobiological consequences, considering modern minimally invasive diagnostic and therapeutic tools. This paper presents the Brazilian Trauma Society's (SBAIT) management guidelines, based on the most recent evidence and tailored to the reality of Brazilian trauma centers.