RESUMEN
OBJECT: the goal of this study was to determine the surgical indications of the splénectomies for splénomégalies at the hospital of the Point G. MATERIAL AND METHODS: it is about a retrospective descriptive study of 10 years in the services of surgery " A " and " B " of the hospital of the Point G. All the splénectomies for splénomégalies were include in the study. RESULTS: 26 patients were listed, 14 women and 12 men. The average age of the patients was 39 years with extremes of 12 and 76 years. The principal reasons for consultation were abdominal tumefaction, the pain and the signs of local compression. Echography posed the diagnosis of splénomégalie in 100% of the cases. For 6 cases the etiology of the splénomégalie could not be specified. The indications of the splenectomy were therapeutic in 9 cases, and diagnostic for 17 cases. The complications of the surgery were the massive haemorrhages (19%). The operational rate of morbidity post was 23, 07 %. CONCLUSION: the indications of the splenectomy in our context of exercise still remain with diagnostic aiming for a high proportion.