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 50
- Downloads 0
Clinico Microbiological Spectrum of Diabetic Foot Infections
Abstract: Diabetic foot infections are a common cause of morbidity and mortality. This study was undertaken to study the microbiological flora of diabetic foot ulcers and to assess the in vitro antibacterial susceptibili...
The Hassal of Thymus: Hassals Corpuscle Histological and Histopathological Perspective
Hassals corpuscles are special and specific bodies present in the thymic medulla. The medulla of thymus is pale staining and composed of scattered thymocytes, reticular cells and characteristic bodies called Hassals Corp...
Adenoid Cystic Carcinoma of the Tongue: A Rare Case Report
: Adenoid cystic carcinoma is a malignant neoplasm arising from the salivary glands. The most striking feature of this tumor is that it is locally aggressive, with perineural invasion, tendency to metastasize, high recur...
Comparison of 24 Hour Urine Creatinine Clearance with Estimated GFR Using 2009 CKD-EPI Formulae
The Glomerular filtration rate (GFR) is useful in the detection and estimateon of prognosis of chronic kidney disease (CKD) patients. Several methods are available to measure or estimate the GFR. The 24 hour urine collec...
A Comparative Study of the Effect of Clonidine and Tramadol for Control of Shivering Under Spinal Anesthesia
Spinal anesthesia is known to significantly impair thermoregulation through inhibiting vasomotor and shivering responses and through redistributing heat from core body to peripheral tissues with subsequent rapid hypother...