An Evaluation of Splenic Trauma and Its Management at Tertiary Care Institute

Introduction: Trauma is the leading cause of death in people under the age of 45 years and is among the top three leading causes of death in all age groups. Aim: To investigate the epidemiology, diagnosis, and management of splenic trauma patients in a tertiary care hospital. Methodology: The prospective and observational study was conducted in the Department of Surgery at R.N.T. Medical College, Udaipur, and Rajasthan. The study was planned during the period of February 2023 to July 2024 with the approval of the institutional ethical committee. Result: The study found that the majority of patients with splenic injuries were young, primarily due to road traffic accidents (73.6%), with significant morbidity and mortality linked to delayed hospital admissions, while pain was the most common symptom; overall mortality was 5.2%, with two high-grade cases dying within a week despite intensive care. Conclusion: Splenic injuries primarily affect young individuals due to trauma, with timely transport and tailored management crucial for improving outcomes, as non-operative approaches are effective for lower grades while higher grades often necessitate surgery.