Related Experiment Video
Updated: Oct 11, 2025
A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
Published on: July 28, 2020
Interventional radiology and open surgery: An effective partnership for solid organ trauma
Mirana Leung-Tack1, Evelyn Geok Peng Ong2, Simon McGuirk3
1University of Birmingham School of Medicine, Birmingham, United Kingdom.
Insights
Non-operative management is effective for most paediatric blunt abdominal solid organ injuries (BASOI). Interventional radiology (IR) is a valuable tool for managing all injury grades, complementing surgical options without increasing adverse outcomes.
Area of Science:
- Pediatric Surgery
- Trauma Management
- Interventional Radiology
Background:
- Paediatric blunt abdominal solid organ injury (BASOI) management is evolving.
- Interventional radiology (IR) is increasingly incorporated, but data on its pediatric application is limited.
Purpose of the Study:
- To evaluate the application and clinical outcomes of IR in pediatric BASOI.
- To assess the effectiveness of non-operative management strategies.
Main Methods:
- Retrospective review of pediatric BASOI cases (February 2012 - October 2019).
- Injuries graded using American Association for the Surgery of Trauma (AAST) guidelines.
- Analysis of treatment pathways including non-operative, surgical, and IR interventions.
Main Results:
- 106 children with BASOI; liver (71%), spleen (29%), and renal (27%) injuries were most common.
- 89.6% managed non-operatively; 15% required secondary intervention (14 IR, 1 surgery).
- No deaths or organ loss occurred in patients requiring secondary management, irrespective of injury grade.
Conclusions:
- Conservative management is successful for the majority of pediatric BASOI.
- Interventional radiology is a safe and effective adjunct for all injury grades, complementing surgical interventions.
Background:
Management algorithms of paediatric blunt abdominal solid organ injury (BASOI) are evolving to include interventional radiology, but there are few studies documenting the application and clinical outcomes of cases in children.
Methods:
A retrospective case note review of all paediatric BASOI at a single Paediatric Major Trauma Centre was completed. CT scans and injuries have been retrospectively graded according to AAST guidelines.
Results:
In the period February 2012 - October 2019, there were 106 children (median age 10.6 years (range 10 days - 16 years)) with BASOI. Of these, 71% (n = 75) suffered liver injuries, 29% (n = 31) spleen, and 27% (n = 29) renal. 95 children (89.6%) were treated with non-operative management, of which 15% (n = 14) went on to require secondary operative management (surgery, n = 1 & interventional radiology, n = 14). There were no deaths or loss of organ in the group which required secondary operative management, regardless of the grade of injury.
Conclusion:
The majority of BASOI can be successfully treated conservatively, but IR is a useful additional tool in management for all grades of injury and is complementary to open surgery.
Level Of Evidence:
Level IV Case Series.
Related Concept Videos
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History: