Splenic function after splenectomy for trauma. Role of autotransplantation and splenosis.
Acta Chir Scand
; 155(10): 533-9, 1989 Oct.
Article
en En
| MEDLINE
| ID: mdl-2603609
ABSTRACT
Follow-up of patients treated for severe trauma to the spleen, with autotransplantation (20 cases) or splenectomy (21 cases) included hepatic and splenic scintigraphy, intracutaneous skin testing with seven recall antigens and hematologic studies (red and white blood count, Howell-Jolly bodies, erythrocyte morphology, immunoglobulins, complements). In all reimplantation cases splenic tissue was scintigraphically demonstrated. After removal of the spleen due to severe traumatic ruptures the incidence of splenosis was 66%. Good clearance function in all reimplantation and splenosis cases was demonstrated by Howell-Jolly bodies and erythrocyte morphology. Autotransplantation of splenic tissue is a simple and safe procedure, without serious complications. As yet, however, there is no proof that it provides adequate resistance to infections. Reimplantation, therefore, should be performed only if spleen-preserving procedures are not feasible.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Bazo
/
Esplenectomía
/
Rotura del Bazo
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Child
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Acta Chir Scand
Año:
1989
Tipo del documento:
Article