A PROSPECTIVE OBSERVATIONAL STUDY ON SURGICAL INDICATIONS FOR SPLENECTOMY IN A TERTIARY CARE CENTER.-Reference-Cited by-同舟云学术

A PROSPECTIVE OBSERVATIONAL STUDY ON SURGICAL INDICATIONS FOR SPLENECTOMY IN A TERTIARY CARE CENTER.

Published:2021-12-01 Issue: Volume: Page:18-19
ISSN:
Container-title:INDIAN JOURNAL OF APPLIED RESEARCH
language:en
Short-container-title:IJAR

Author:

Reddy. M. G Vijaya Bhaskara¹,Ahmed. F Salman²,Kumar Rajput Santosh³,K. R Ganashyam.⁴

Affiliation:

1. Assistant professor ,Department of General Surgery, SSIMS, Davangere.

2. Senior Resident , Department of general surgery , Oxford medical college and research institute ,Bangalore.

3. Assistant Professor, Department of General Surgery, Siddhartha institute of medical sciences ,Nelamangala.

4. Senior Resident , Department of general surgery , Karnataka institute of medical sciences, Hubli.

Abstract

Background: Spleen mediates important immunologic, storage and hematologic functions. A person can undergo a splenectomy for various causes which includes both surgical and non surgical. The recent trend being towards spleen preservation, it is necessary to critically analyse the indications for splenectomy and assess if the desired post operative outcomes are achieved by splenectomy. Materials and Methods: This prospective observational study was carried out on patients of Department of General Surgery, Mysore Medical College and Research Institute, Mysore, from august 2017 to November 2019. 45 adult subjects (both male and females) aged ≥ 18 years, who underwent elective or emergency splenectomy for various indications were studied. Results: The most common indication for splenectomy was trauma in 27 patients(60%) followed by splenic abscess(15.6%). Most of the patients underwent emergency splenectomy i.e., 25 cases(55%) . In our study the majority received blood transfusion, 15.5% developed wound infection and 2 cases(4.4%) needed reexploration due to rebleeding.

Publisher

World Wide Journals

Reference11 articles.

1. Weledji EP. Benefits and risks of splenectomy. Inter J Surg. 2014;12(2):113-9.

2. Edgren G, Almqvist R, Hartman M, Utter GH. Splenectomy and the risk of sepsis: a population-based cohort study. Ann Surg. 2014;260(6):1081-7.

3. Lin JN, Lin CL, Lin MC, Lai CH, Lin HH, Yang CH, et al. Increased risk of hemorrhagic and ischemic strokes in patients with splenic injury and splenectomy: a nationwide cohort study. Med. 2015;94(35).

4. Clarke PJ, Morris PJ. Surgery of the spleen. In: Oxford textbook of Surgery, vol. 2. Morris and Matt Oxford University Press; 1994.

5. Stassen NA, Bhullar I, Cheng J, et al. Selective non-operative management of blunt splenic injury: an Eastern association for the surgery of trauma practice management guideline. J Trauma Acute Care Surg 2012;73:294e300.