In splenic injury conservative m/n is done in
High-Yield Explanation
Most serious complications after splenectomy are OPSI (Opportunistic Post Splenectomy Infections) it is most common in young children and immunocompromised adults.
“Therefore it is essential to save the spleen in children.” Now spleen salvage methods are the management of choice even in adults.
Splenectomy is usually indicated under the following circumstances (Ref: Sabiston 18/e pi639 (17/e} p 1694)
1. the pt. is unstable
2. the spleen is extensively injured with continuous bleeding
3. bleeding is associated with hilar injury
4. other injuries require prompt attention