■ Selected Class II-III-IV splenic injury with the following:
■ Hemodynamic stability
■ No evidence of other intra-abdominal organ injury
■ No associated head injury
■ No coagulopathy
■ CT confirmation of isolated splenic injury Elective
■ Resection of non-parasitic cysts
■ Hamartomas and other benign splenic tumors
■ Inflammatory pseudotumor of the spleen, Type J Gaucher's disease
■ Cholesteryl ester storage disease, chronic myelogenous leukemia
■ Thalassemia major, spherocytosis, staging of Hodgkin's disease in children
■ Inability to mobilize the spleen and tail of pancreas to the midline
■ Inability to leave >25 % of splenic mass for complete splenic function
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