Episode 13 - "Modern Splenic Trauma Management: From Preservation to Precision Surgery"

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Master General Surgery And Trauma

Dr. Jocielle Miranda, MD

22 episodes

2 months ago

Podcast Description – “Master General Surgery and Trauma”

🎙️ Master General Surgery and Trauma is your go-to podcast for cutting-edge discussions on surgical innovation, trauma care, and evidence-based medicine. Developed under the curation of leading experts from General Surgery and Trauma, this podcast explores the most relevant topics shaping modern surgical practice.

Each episode features in-depth analyses of clinical protocols, surgical techniques, trauma management strategies, and patient safety improvements. This podcast is developed by experienced surgeons and academic leaders in General Surgery and Trauma, combining scientific evidence, clinical research, and real-world surgical experience. Each episode delivers carefully curated content that deepens understanding of surgical principles, enhances decision-making, and promotes excellence in patient care.

Whether you’re a surgeon, resident, medical student, or healthcare professional, this podcast provides valuable discussions that bridge the gap between theory and practice in abdominal wall, treatment of surgical complications, emergency surgery, trauma care, and surgical oncology.

🔹 Stay informed.
🔹 Stay prepared.
🔹 Master the art of General Surgery and Trauma.

🎧 Tune in now and take your surgical knowledge to the next level!

All content for Master General Surgery And Trauma is the property of Dr. Jocielle Miranda, MD and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Episode 13 - "Modern Splenic Trauma Management: From Preservation to Precision Surgery"

Master General Surgery And Trauma

22 minutes

2 months ago

Episode 13 - "Modern Splenic Trauma Management: From Preservation to Precision Surgery"

🎙️ Episode Title:
Modern Splenic Trauma Management: From Preservation to Precision

📝 Episode Description (English):
In this episode of the Master General Surgery – Trauma Series, we explore the evolving landscape of splenic trauma management in both adults and children. Based on recent literature and a high-stakes pediatric case presented during a trauma conference, this discussion highlights the shift toward nonoperative management (NOM), the expanding role of angioembolization, and the critical indications for surgical intervention.

We dive deep into:

The updated AAST-OIS 2018 classification for splenic injury
The immunological importance of the spleen and risks of OPSI
How to interpret imaging findings (FAST vs. CT vs. blush)
Indications for splenectomy and splenorrhaphy
Pediatric-specific considerations: higher NOM success, lower AE use
A real-life case of pediatric multisystem trauma requiring splenectomy
Post-splenectomy care and vaccination timing
Areas of ongoing research: pseudoaneurysms, prophylactic AE, VTE prevention

🧠 Take-Home Messages:
• NOM is the standard for most hemodynamically stable patients
• Splenic preservation reduces the risk of immunologic complications
• AE is an essential adjunct, but indications must be individualized
• Children have high NOM success—but instability always outweighs imaging
• Clinical judgment and trauma leadership remain the backbone of decision-making

📡 Available now on all major podcast platforms and in the Google Classroom of the Abdominal Wall and Content Group at Hospital das Clínicas – University of São Paulo.

🙏 Don’t forget to follow and share this episode with colleagues and trauma teams!