This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Effect of prophylactic embolization on patients with blunt trauma at high risk of splenectomy. A Randomized Clinical Trial. JAMA Surg 2020; 155: 1102-1111.

Published: 7th May 2021

Authors: Arvieux C, Frandon J, Tidadini F, Monnin-Bares V, Foote A, Dubuisson V et al.

Conclusion

In this study that included 117 evaluable patients, there was no difference in the rate of splenic salvage (>50% vascularised spleen at on month) in those who had early prophylactic embolisation compared to those who had embolisation if needed (98.2 versus 93.3 per cent). Hospital stay was shorter in the prophylactic embolisation group: 9 versus 13 days, P=0.002.

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