Trauma splenectomy in a patient with previous total splenectomy

2021 ◽  
Author(s):  
Tamalee M. Wilson ◽  
Dieter G. Weber
Keyword(s):  
Total Splenectomy

scholarly journals Role of Partial Splenectomy in Hematologic Childhood Disorders

Pathogens ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1436
Author(s):  
Giorgio Attina’ ◽  
Silvia Triarico ◽  
Alberto Romano ◽  
Palma Maurizi ◽  
Stefano Mastrangelo ◽  
...  
Keyword(s):  
Blood Circulation ◽  
Lymphoid Organ ◽  
Partial Splenectomy ◽  
Surgical Indications ◽  
Childhood Disorders ◽  
Hematologic Disorders ◽  
Infectious Risk ◽  
Serious Infections ◽  
Total Splenectomy

The spleen is a secondary lymphoid organ that belongs to the reticular-endothelial system, directly connected to blood circulation. The spleen is greatly involved in the immune response, especially against capsulated bacteria. Splenectomy plays a fundamental role in the treatment of numerous pediatric hematologic disorders. Taking into account all the possible complications (especially infections) linked to this procedure, alternatives to total splenectomy have been sought. Partial splenectomy has been proposed as a treatment that allows the reduction of infectious risk. This approach has proven safe and feasible in most patients, but multicentric and prospective studies are necessary to more accurately define the indications for performing partial splenectomy. However, vaccinations and antibiotic prophylaxis remain fundamental for preventing serious infections, even in the case of partial splenectomy. We review anatomical and functional properties of the spleen, with a focus on medical or surgical indications to splenectomy, aiming to give practical educational information to patients and their families after splenectomy. Furthermore, we discuss the feasibility of partial splenectomy in children with hematologic diseases who require splenectomy.

scholarly journals Post total splenectomy outcome in thalassemia patients

2019 ◽  
Vol 8 (3) ◽  
pp. 947
Author(s):  
Muntadhar M. Isa ◽  
Amir Thayeb ◽  
Ahmad Yani ◽  
Muhammad Bayu Z. Hutagalung
Keyword(s):  
Total Splenectomy

scholarly journals SPLENIC CYST

2014 ◽  
Vol 2 (3) ◽  
Author(s):  
Larissa L. Garcia ◽  
Fernanda L. Lomanto ◽  
Felipe Simões da Rocha Mata ◽  
Dilton Mendonça
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Clinical Case ◽  
Standard Treatment ◽  
Clinical Status ◽  
Exploratory Laparotomy ◽  
Splenic Cyst ◽  
Splenic Cysts ◽  
The Times ◽  
Total Splenectomy

Background: Splenic cysts are rare in children. They are classified into primary and secondary, also called pseudocysts. The primary feature capsule and can be congenital, vascular or neoclassical. The diagnosis, in most cases, is incidental because it is asymptomatic clinical status. The diagnosis is confirmed by Ultrasound and / or Computed Tomography (CT) of the abdomen. Case Report: Patient, I.T.S.A, female, 11 years old, complains of increasing abdominal size. The diagnosis of splenic cyst was confirmed with an exploratory laparotomy. The pathology suggests reactive mesothelial hyperplasia. The patient underwent a total splenectomy and recovered without complications. Conclusions: Splenic cysts are incidental findings, most of the times it has been an asymptomatic clinical status. In the clinical case described, the patient showed a significant increase in the abdomen. She underwent exploratory laparotomy and, consequently, total splenectomy, which is the standard treatment in cases of giants splenic cysts.

scholarly journals Super-selective Partial Splenic Embolization for Hereditary Spherocytosis in Children: A Single-Center retrospective Study

2021 ◽  
Author(s):  
Qiang Xiong ◽  
Ruijue Wang ◽  
Li Xiao ◽  
Xiaoke Dai ◽  
Yingcun Li ◽  
...  
Keyword(s):  
Hereditary Spherocytosis ◽  
Treatment Preference ◽  
Partial Splenic Embolization ◽  
The Poor ◽  
Splenic Embolization ◽  
Long Time ◽  
Total Splenectomy ◽  
Surgical Treatments ◽  
Medical University ◽  
Average Hemoglobin

Hereditary spherocytosis is the most common cause of hemolytic anemia due to defects in the blood cell membrane. Partial splenic embolization (PSE) might significantly improve the effects of hemolysis in HS patients while preserving partial splenic function. However, due to the poor controllability of the scope of interventional embolization, PSE in pediatric HS had not been widely studied and applied. The present study is the first to propose that optimized PSE procedure to treat pediatric HS patients, which named super-selective partial splenic embolization (SPSE). We investigated the feasibility and effectiveness of SPSE. This study was conducted by retrospectively reviewing clinical data from HS patients treated by surgical treatments who were diagnosed at children’s hospital of Chongqing medical university from January 2015 to December 2019. Patients were divided into two groups according to treatment preference: SPSE (16 patients) group and total splenectomy (41 patients) group. The data were analyzed such as preoperative and postoperative leukocytes, hemoglobin, platelets, bilirubin, immunological indicators, and postoperative complications. The success rate of two groups were 100%. The improvement of hemolysis in patients after SPSE was not different from that after total splenectomy, and the effect can be maintained for a long time. The average hemoglobin value increased significantly from 6.97g/dL before SPSE to 12.2g/dL after SPSE (P=0.000). SPSE was performed without any serious complications. SPSE is a safe and effective treatment for moderate or severe HS in children.

Total splenectomy

2016 ◽  
pp. 447-448
Keyword(s):  
Total Splenectomy

Alternatives to total splenectomy: Two case reports

1978 ◽  
Vol 13 (2) ◽  
pp. 137-138 ◽  
Author(s):  
John T. Benjamin ◽  
Diane M. Komp ◽  
Anthony Shaw ◽  
Cambell W. McMillan
Keyword(s):  
Case Reports ◽  
Total Splenectomy

Splenic regeneration does not occur after sub-total splenectomy

1994 ◽  
Vol 9 (5-6) ◽  
pp. 423-424 ◽  
Author(s):  
John Bowen ◽  
David Gough
Keyword(s):  
Total Splenectomy ◽  
Splenic Regeneration

scholarly journals Is there a relationship between lipids metabolism and splenic surgeries?

2012 ◽  
Vol 27 (11) ◽  
pp. 751-756 ◽  
Author(s):  
Luiz Ronaldo Alberti ◽  
Denny Fabrício Magalhães Veloso ◽  
Leonardo de Souza Vasconcellos ◽  
Andy Petroianu
Keyword(s):  
Total Cholesterol ◽  
Ldl Cholesterol ◽  
Hdl Cholesterol ◽  
Sham Operation ◽  
Spleen Tissue ◽  
Sham Operation Group ◽  
Vldl Cholesterol ◽  
Lipids Metabolism ◽  
Total Splenectomy ◽  
Cholesterol Fraction

PURPOSE: To assess the influence of spleen surgeries (splenectomy, presence of spleen and after conservative surgeries) on lipids metabolism. METHODS: Fifty female Wistar rats of similar weight and age were divided into five groups submitted to the following procedures: Group 1 - control, with an intact spleen; Group 2 - sham operation, Group 3 - total splenectomy; Group 4 - subtotal splenectomy, and Group 5 - total splenectomy complemented with autogenous spleen tissue implants. Four months after the interventions, serum triglycerides, total cholesterol and fractions (VLDL-cholesterol, LDL-cholesterol, HDL-cholesterol) were determined. The results for the four groups were compared by analysis of variance followed by the Tukey-Kramer test, with the level of significance set at p<0.05. RESULTS: There were no differences between groups 1, 2, 4 and 5. In the animals submitted to total splenectomy, total cholesterol (p=0.0151) and LDL-cholesterol fraction concentrations (p<0.0001) were higher, whereas HDL-cholesterol fraction concentrations were lower (p=0.0026) than those detected in the other groups. There was no difference in triglycerides (p=0.1571) or VLDL-cholesterol (p=0.2527) between groups. CONCLUSION: Splenectomy is related to changes in the lipid metabolism that are reverted by autogenous spleen tissue implants.

Subtotal and total splenectomy for hereditary pyropoikilocytosis: Benefits and outcomes

2018 ◽  
Vol 93 (10) ◽  
pp. E340-E342
Author(s):  
Thomas Pincez ◽  
Corinne Guitton ◽  
Judith Landman-Parker ◽  
Valentine Brousse ◽  
Frédéric Gauthier ◽  
...  
Keyword(s):  
Total Splenectomy
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