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Conclusions
The increased use of SAE as an adjunct to nonoperative management (NOM) ofsplenic injuries is associated with a statistically significantreduction in the number of laparotomies for splenic trauma.No overall changes were observed in the failure rate ofNOM except in patients with grade II injuries, where anincreased salvage rate was noted in the 4-year period inwhich SAE was frequently performed. SAE should be considered as a standard valuable adjunctin the management of splenic trauma.
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The American Journal of Surgery (2009) 197, 337–341
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