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Timing of surgery and assessing the need for surgery has enormous impact on the outcome of emergent and elective splenectomy cases. Conservative approach should be the first option in the properly equipped health care centers after evaluating general health status of the patient, the degree of splenic injury and presence of multiorgan injury. When splenctomy is necessary, spleen conserving strategies should be preferred. Meticulous care should be exercised to prevent iatrogenic splenic injuries.Multidisciplinary approach is the key element to reduce the mortality and morbidity rates in elective cases.
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