Indications of Splenectomy and Postoperative Mortality
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: The aim of this study was to investigate the risk factors for mortality by evaluating the indications for splenectomy and postoperative mortality in patients that underwent splenectomy over a 6-year period at a general surgery department. The retrospective study included 107 patients aged over 18 years that underwent splenectomy. The patients were divided into two groups: (I) surviving and (II) no surviving. Age, gender, hospital stay, surgical procedure (elective or emergency), type of surgery (open or laparoscopic), indications for splenectomy, and the histopathological diagnosis of the splenectomy specimen were recorded for each patient. The 107 patients comprised 58 (54.2%) men and 49 (45.8%) women. Of these, 94 (87.9%) patients were in the surviving group and 13 (12.1%) were in the no surviving group. Of the 107 patients, 66 (61.7%) underwent elective surgery and 41 (38.3%) underwent emergency surgery. Mortality occurred in 4 (6%) patients that underwent elective surgery and in 9 (22%) patients that underwent emergency surgery and the risk of mortality was significantly higher in the patients that underwent emergency surgery compared to elective surgery (p<0.05). The most common indication for splenectomy was trauma (n=35; 32.7%), followed by nondramatic hematological indications (n=30; 28%) including ITP (n=15; 14%), sickle cell anemia (n=9; 8.4%), beta thalassemia (n=5; 4.7%), and hereditary spherocytosis (n=1; 0.9%). In addition, splenectomy was performed as a component of the debunking of ovarian cancer (n=28; 26.2%). Complications occurred in 19 (12%) patients, with the most common complications including isolated abdominal bleeding (n=7; 6.5%) and isolated atelectasis and pneumonia (n=6; 5.6%). Trauma is the most common indication for splenectomy in general surgery practice and benign hematological disorders are also highly common among the indications for splenectomy. In addition, emergency splenectomy is a risk factor for mortality.
Authors and Affiliations
Mustafa Ugur, Erol Kilic, Arif Emre, Ahmet Necati Sanlı, Ozan Utku Ozturk, Ibrahim Yetim, Muhyittin Temiz
Keywords
Related Articles
- EP ID EP474119
- DOI -
- Views 42
- Downloads 0
Sexual Dimorphism of Adult Human Clavicles in Tamilnadu Population
Clavicle is also called as "Collar Bone". The bone has a double-curve hence its name Clavisa Key (the Roman key was S-Shaped) in the horizontal plane. The clavicle is thicker and more curved in manual workers, its muscul...
Study of clinical profile, etiology and immediate outcome in Non-traumatic coma in children
Abstract: Etiology of coma and clinical status at the time of presentation are likely predictors of outcome in cases of non-traumatic coma. The present study included of clinical profile, etiology of non-traumatic coma a...
Video Assisted Thoracoscopy in Undiagnosed Pleural Effusion
Thoracoscopy is a medical procedure involving the internal inspection of pleural cavity. The main diagnostic and therapeutic indications for medical thoracoscopy are pleural effusions and pneumothorax. Due to its high di...
Study on Prevention of Induced Arsenic Toxicity in Rats by using Spirulina and Thankuni
The prophyalactic contributions of spirulina and thankuni on rats experimentally induced with arsenic toxicity were tested and the comparative efficacies of both spirulina and thankuni were determined. Sixty apparently...
The Attitude of Dental Graduates toward Clinical Education on Pediatric Dentistry
Abstract: The aim of dentistry education is training competent, committed and passionate dentists. Evaluation of the educational curriculums is one of the main duties of university of medical science. The aim of this s...