<prompt> In splenic injury conservative mn is done in :Hemodynamically unstableYoung pt.Shatterred spleenExtreme pallor and hypotension  <response>: Ans is b ie. Young pts Most serious complications after splenectomy is OPSI Opportunistic Post Splenectomy Infections it is most common in young children and immunocompromised adults.Therefore it is essential to save the spleen in children.Now spleen salvage methods is the management of choice even in adults.Splenectomy is usually indicated under the following circumstances Ref: Sabiston 18e pi639 17e p 1694the pt. is unstablethe spleen is extensively injured with continuous bleedingbleeding is associated with hilar injuryother injuries require prompt attentionSplenectomy is indicated for hilar injuries, pulverized splenic parenchyma, or any injury of grade II or higher in a patient with coagulopathy or multiple injuries.-Schwartz 9e 