1) Why was this study conducted?

This article aims to present a proposal for the management of splenic trauma in severely injured patients.

2) What were the most relevant results of the study?

It is our recommendation that both damage control principles and emerging endovascular technologies should be applied to achieve splenic salvage when possible. However, if surgical bleeding persists a splenectomy may be required as a definitive lifesaving maneuver.

3) What do these results contribute?

The spleen should be salvage when it will be possible. Splenectomy should not be the first option.