Grade III Traumatic Splenic Injury in Hemodynamically Stable Patients
Conditions
Brief summary
The goal of this clinical trial is selection of the best method in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients thus improving the quality of life and clinical outcome. The main questions it aims to answer are 1. Assess the quality of life and clinical outcome after using laparoscopic Splenectomy in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients 2. Assess the quality of life and clinical outcome after using Splenic Artery Embolization in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients Researchers will compare the quality of life and clinical outcome to see if it is better using laparoscopic Splenectomy Splenic Artery Embolization Participants will underwent laparoscopic Splenectomy or Splenic Artery Embolization and will undwent post operative follow up, follow up at outpatient clinic and will be asked about changes occurring to their daily life social activities and their quality of life
Interventions
PROCEDURELaparoscopic Splenectomy vs splenic Artery Embolization
Compare the quality of life and clinical outcome after using laparoscopic Splenectomy and Splenic Artery Embolization in management of grade 3 traumatic Splenic Injury in Hemodynamically Stable Patients
Sponsors
Zagazig University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients aged above 12 years at time of screening. * Patients diagnosed with grade three traumatic Splenic Injury
Exclusion criteria
* Patients aged less than 12 years at time of screening . * Patients diagnosed with associated visceral injury such as liver,kidney,bowel, etc... * Patients diagnosed with isolated splenic injury after trauma other than grades III * Patients contraindicated for radiological investigations or splenic artery embolization using interventional radiology such as pregnany
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with clinical complications: as pain, fever, leucocytosis, vomiting, or illeus. | 6 months | Number of participants with clinical complications: like Pain, fever, leucocytosis, vomiting, or illeus. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery time: Length of postoperative hospital stay in days. | 6 months. | Recovery time: Length of postoperative hospital stay in days. |
| Measuring post operative pain severity using pain severity score. | 6 months. | Measuring post operative pain severity using pain severity score. Minimum score =1. Maximum score= 10. The lower the score the better the outcome. |
Countries
Egypt
Outcome results
None listed