Management of Pediatric Solid Organ Injuries

Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI

Abdominal trauma · Blunt · General surgery · Injury prevention · Intensive care medicine · Medical emergency · Pancreas · Pediatric trauma · Poison control · Solid organ · Abdominal Trauma and Injuries · Medicine · Trauma and Emergency Care Studies · Urological Disorders and Treatments · Internal Medicine · Surgery

• Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series

  Open Access•Hannah N Ladenhauf, Leopold Bauer et al.•Children•2022

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