Revista do Colégio Brasileiro de Cirurgiões
http://www.rcbc.periodikos.com.br/article/doi/10.1590/0100-6991e-2026004925
Revista do Colégio Brasileiro de Cirurgiões
Original Article

Consenso da Sociedade Brasileira de Atendimento Integrado ao Traumatizado (SBAIT) para o tratamento do Trauma Esplênico

Brazilian Trauma Society’s (SBAIT) management guidelines of splenic injuries

Luca Giovanni Antonio Pivetta; Pedro de Souza Lucarelli Antunes; Juliana Oliveira de Miranda; Daniel Fonseca Rohrs; Timoteo Vilela Veríssimo; Luis Fernando Rosati Rocha; Ana Gabriela de Queiroz Figueiredo; Joao Pedro Feu Soares; Filipe Moreira de Andrade; Márcio Ramisio Norberto de Moura; Rodrigo Gonçalves de Oliveira; Ricardo Alessandro Teixeira Gonsaga; Tercio de Campos

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Resumo

As lesões esplênicas são frequentes nas vítimas de trauma fechado e a melhor conduta deve considerar o status fisiológico e complexidade anatômica das lesões. As alternativas devem ponderar, em pacientes estáveis e sem peritonite, a simplicidade e resolutividade da esplenectomia bem como as complicações e consequências imunobiológicas deste procedimento frente às modernas ferramentas diagnósticas e terapêuticas minimamente invasivas. Este artigo apresenta o consenso da Sociedade Brasileira de Atendimento Integrado ao Traumatizado (SBAIT) para manejo destas lesões, baseado na literatura atual e adaptado à realidade dos centros de trauma brasileiros.

Palavras-chave

Traumatismo Múltiplo; Ruptura Esplênica; Esplenectomia

Abstract

The splenic injuries are frequent among victims of blunt trauma, and the most appropriate approach must be based on the physiological status and anatomical complexity of the lesions balance. The alternatives must balance, in stable patients without peritonitis, the simplicity and prompt resolution of splenectomy and the potential complications and immunobiological consequences, considering modern minimally invasive diagnostic and therapeutic tools. This paper presents the Brazilian Trauma Society’s (SBAIT) management guidelines, based on the most recent evidence and tailored to the reality of Brazilian trauma centers

Keywords

Multiple Trauma; Splenic Rupture; Splenectomy

References

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Submitted date:
11/09/2025

Accepted date:
05/05/2026

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