Incidental splenectomy: early and late postoperative complications.

  title={Incidental splenectomy: early and late postoperative complications.},
  author={P. Klaue and P. Eckert and E. Kern},
  journal={American journal of surgery},
  volume={138 2},
Of 542 splenectomies performed from 1964 to 1977, 242 were incidental to gastrointestinal surgery. The highest rate of complications was observed in these patients as opposed to those who underwent splenectomy for trauma or Hodgkin's disease. Eighteen laboratory studies did not show significant changes 1.5 to 10 years postoperatively in 96 patients. Ninety-three patients questioned because of late symptoms had the highest rate of complaints after incidental splenectomy. 
Complications of splenectomy. Etiology, prevention, and management.
Familiarity with the anatomic relationship of the spleen to other structures combined with meticulous operative technique will lower the morbidity and mortality associated with splenic surgery. Expand
Changing indications for splenectomy. 30 years' experience.
Hodgkin's staging has become the most frequent indication for splenectomy during the past five years, whereasSplenectomy for hypersplenism has decreased and in-hospital mortality has decreased. Expand
Splenectomy for Trauma
It is suggested that apart from splenosis and ectopic spleens, additional factors peculiar to the tropics may operate to enhance host defence among splenectomized patients in these areas, and conservation of the ruptured spleen may be unnecessary for the older child and young adult patient in the Tropics. Expand
Malign effects of splenectomy—the place of conservative treatment
In this review article the incidence is discussed of overwhelming post-splenectomy infection (OPSI), which is especially likely to occur in children and when splenectomy is carried out forExpand
Iatrogenic injury to the spleen-CT appearance.
This review focuses on missed splenic injuries that are diagnosed on imaging following surgery or an invasive procedure, and on Overt injuries diagnosed during surgery and immediately treated by splenectomy without imaging. Expand
Incidental splenic injury during abdominal vascular surgery: a case-controlled analysis.
It is suggested that incidental splenectomy during abdominal vascular operations is associated with increased postoperative infectious complications and prolonged hospitalization. Expand
Splenectomy in a General Hospital
An audit was performed to determine the reasons for splenectomy in a district general hospital, to review the results and complications of surgery, and to see how often the patients were prescribed antibacterial prophylaxis. Expand
Splenic protection in left upper quadrant operations.
It was not necessary to remove the spleen because of accidental injury in 417 consecutive operations over a 5 year period after implementation of an operative strategy of specific protection of the spleens as the first step in a left upper quadrant operation ('defusing' the Spleen). Expand
[Long-term sequelae of splenic loss].
  • P. Klaue
  • Medicine
  • Langenbecks Archiv fur Chirurgie
  • 1986
Beside the increased risk of infection there are further long lasting consequences of splenectomy. The hematologic changes include morphological alterations of red cells, lymphocytosis, monocytosisExpand
Iatrogenic splenic injury in postoperative patients: a series of case reports
Injuries as detected on CT included splenic infarct in five, subcapsular hematoma in two, and laceration of the spleen in one, which were probably the source of the postoperative abdominal pain and fever. Expand


Splenic injury during abdominal surgery.
Of 237 splenectomies performed over a six-year period, 39 were necessitated by intraoperative injury. Capsular and hilar tears were predominant. All injuries were recognized at the time theyExpand
A Quarter Century With Splenectomy: Changing Concepts
This experience focuses on changing trends in hematological indications including Hodgkin staging, leukemic reticuloendotheliosis, and myelofibrosis; current concepts in patient selection based on splenic sequestration; adjuncts to operative management, and the continuing challenge to prevent surgical complications and lower mortality. Expand
Splenectomy in children. A correlative review of indications and complications in fifty patients.
The data were correlated with the recent literature regarding pediatric splenctomy and the problem of immunologic incompetency associated with splenectomy in the patients less than five years old was noted. Expand
Complications following splenectomy with special emphasis on drainage.
The paucity of statistical knowledge concerning this controversy has stimulated the present review of the experience, and particular interest was focused on whether the splenic bed was drained. Expand
Incidental Splenectomy: A Review of the Literature and the New York Hospital Experience
981 consecutive splenectomies at The New York Hospital were reviewed. 18.9% were removed incidental to some other procedure, either to facilitate exposure or because of uncontrolled bleeding fromExpand
The Morbidity and Mortality of Splenectomy in Childhood
Patients undergoing splenectomy for thalassemia and portal hypertension resulted in an increased risk of serious infections when compared with removal of the spleen for hereditary spherocytosis, idiopathic thrombocytopenic purpura, trauma, or for technical reasons in the course of another operation. Expand
A long-term follow-up of 740 American servicemen splenectomised because of trauma during the 1939-45 war showed a significant excess mortality from pneumonia and ischaemic heart-disease, confirming that the risk of fatal infections is increased by asplenia. Expand
Increased morbidity of iatrogenic splenectomy.
Complications of splenectomy.