Title: Assessment of 120 Cases of Splenic Injury and Splenectomy

Authors: R B Singh, Dr Pankaj kumar Mishra

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.210

Abstract

Background: The spleen is one of the most commonly injured intra-abdominal organs. The diagnosis and prompt management of potentially life-threatening hemorrhage is the primary goal. The present study was conducted to analyze the cases of splenectomy in study population.

Materials & Methods: The present study was conducted in the department of general surgery on 120 patients of both genders. General information such as name, age, gender etc. was recorded. In all patients, causes of spleen injury were evaluated.

Results: Out of 120 patients, males were 65 and females were 55. The difference was non- significant (P- 0.5). Age group 21-30 years had 9 males and 5 females, 31-40 years had 10 males and 12 females, 41- 50 years had 26 males and 18 females, >50 years had 20 males and 20 females. The difference was significant (P- 0.01). Common causes of spleen injury were blunt trauma (30), traffic accident (35), falling down (15), penetrating injury (25) and gunshot (15). The difference was significant (P- 0.01).

Conclusion: Spleen is the delicate organ which is susceptible to injuries. The common causes are penetrating injuries, road accidents, falling down, gunshot etc.

Keywords: Gunshot, Spleen, Trauma.

References

  1. Beardsley, DS. ITP in the 21st century. Hematology Am Soc Hematol Educ Program 2006; 402-407.
  2. Onder, A., Kapan, M., Gül, M., Aliosmanoglu, I., Arıkanoglu, Z., Taskesen, F., Tas, I., Ay, E., Girgin, S. Splenectomy in patients with idiopathic thrombocytopenic purpura: Analysis of 109 cases. diclemedj. 2012; 39: 49-53.
  3. David, PW, Williams, DA., Shamberger, RC. Immune thrombocytopenia: Surgical therapy and predictors of response. J Pediatr Surg. 1991; 26 (4): 407-13.
  4. Arnoletti, JP., Karam, J., Brodsky, J. Early postoperative complications of splenectomy for hematologic disease. Am J Clin Oncol. 1999; 22 (2): 114-8.
  5. Bisharat, N., Omari, H., Lavi, I., Raz, R. Risk of infection and death among post-splenectomy patients. J Infect. 2001; 43 (3): 182-6.
  6. Liangpunsakul. Guidelines for the investigation and management of idiopathic thrombocytopenic purpura in adults, children and in pregnancy. Br J Haematol 2003; 120 (4): 574-96.
  7. Winslow, ER., Brunt, LM., Drebin, JA., Soper, NJ., Klingensmith, ME. Portal vein thrombosis after splenectomy Am J Surg. 2002; 184 (6): 631-5.
  8. AMit, F., Frezzato, M., Schiavotto, C., Castaman, G., Dini, E. Fulminant sepsis in adults splenectomized for idiopathic thrombocytopenic purpura. Haematologica 1992; 77 (3): 253-6.
  9. Repair of ruptured splen. J Pediatr Surg 1974; 9: 175- 78.
  10. Gupta, MH., Garrow, E., Valda, V. et al. Sugical repair of the injuried spleen. J Pediatr Surg 1977; 12: 1019-25.

Corresponding Author

Dr Pankaj Kumar Mishra

Prof., Community medicine, Mayo Institute of Medical Sciences, Barabanki