Laparoscopic splenectomy for subcapsular hematoma: medial approach
The spleen is the second most frequently injured organ in blunt abdominal trauma. The radiological diagnosis and prompt management of potentially life-threatening hemorrhage is the primary goal. The preservation of functional splenic tissue is secondary and may be accomplished using non-operative management in selected patients. Any attempt to salvage the spleen is abandoned in the face of ongoing hemorrhage, inability for the patient to respect the instructions or other life-threatening injuries. Emergent and urgent splenectomy remains a life-saving measure for many patients.