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Splenic artery ligation: A ten-year experience in the treatment of selected cases of splenic injuries in children

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Abstract

Splenic artery ligation (SAL) combined with either splenorrhaphy or partial splenectomy has been used as a spleen saving procedure in the management of massively bleeding splenic injuries. During the last 10 years, 37 children have been submitted to SAL following a selective management schedule. This study was jointly undertaken by two separate Pediatric Surgical Units in two different countries, in order to evaluate some preliminary observations published previously, with regard to; 1) the percentage of splenic injuries requiring ligation of the splenic artery; 2) the effect of this procedure on the arrest of bleeding; 3) the postoperative complications related to dearterialization of the spleen; 4) the immunological status after the operation and; 5) the postoperative imaging of the spleen using radioscintigrams and ultrasonograms. The mean age of the patients was 6.9 years and the follow up period ranged from 1 to 10 years. Thus, SAL was concluded to be an effective mode of treatment for rare cases of splenic injury unable to be treated nonoperatively or by splenorrhaphy alone. No postoperative complications were recorded in this series, while the immunological status remained undisturbed postoperatively and imaging of the spleen revealed intact and functional tissue with adequate healing.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Aghia Sophia Children's Hospital, Athens, Greece

    Dimitris Keramidas & Theodore Dolatzas

  2. Department of Pediatric Surgery, Cerrahpaşa Medical Faculty, University of Istanbul, Istanbul, Okumuş Adam Sokak N.3 D.5, Fatih/Istanbul, Turkey

    Cenk Büyükünal & Osman Şenyüz

Authors
  1. Dimitris Keramidas
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  2. Cenk Büyükünal
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  3. Osman Şenyüz
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  4. Theodore Dolatzas
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Keramidas, D., Büyükünal, C., Şenyüz, O. et al. Splenic artery ligation: A ten-year experience in the treatment of selected cases of splenic injuries in children. The Japanese Journal of Surgery 21, 172–177 (1991). https://doi.org/10.1007/BF02470905

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  • DOI: https://doi.org/10.1007/BF02470905

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