<prompt> In splenic injury conservative mn is done inHemodynamically unstableYoung ptShatterred spleenExtreme pallor and hypotension  <response>: Most serious complications after splenectomy are 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 are the management of choice even in adults.Splenectomy is usually indicated under the following circumstances Ref: Sabiston 18e pi639 17e p 16941. the pt. is unstable2. the spleen is extensively injured with continuous bleeding3. bleeding is associated with hilar injury4. other injuries require prompt attention 