| Functions of the splenic remnant after subtotal splenectomy for treatment of severe splenic injuries. | |
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MedLine Citation:
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PMID: 12657380 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To evaluate the clinical and laboratory characteristics of patients submitted to subtotal splenectomy during the immediate and late postoperative period. METHODS: The study was conducted on 34 patients, 25 of whom were submitted to subtotal splenectomy (group I), and 9 to total splenectomy without preservation of splenic tissue (group II), and on 22 patients with intact spleens (group III, control). The immediate and late postoperative complications were investigated. Hematological examinations were performed during the late postoperative period (red cell count, hemoglobin, platelets, total and segmented leukocytes, lymphocytes, and Howell-Jolly bodies). Immunoglobulins (IgA, IgM, and IgG) and total T lymphocytes (TTL), active T lymphocytes (ATL), and B lymphocytes were also determined. Splenic scintigraphy with (99m)Tc colloidal sulfur was performed. RESULTS: Groups I and III did not presented abnormal blood bodies and their hematological and immunological pattern were normal. None of the groups showed leukocytosis or thrombocytosis. Howell-Jolly bodies were observed only in group II, which also showed reduced IgM levels. Scintigraphy showed filtering splenic tissue in group I. CONCLUSIONS: We conclude that subtotal splenectomy is a good surgical alternative for serious distal spleen lesion or when the main splenic pedicle is injured. |
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Authors:
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Vivian Resende; Andy Petroianu |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 185 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-03-26 Completed Date: 2003-05-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 311-5 Citation Subset: AIM; IM |
Affiliation:
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Federal University of Minas Gerais and Hospital João XXIII, Rua Sergipe, no 67, Apto 2401, Bairro Funcionários, Belo Horizonte, MG 30130-170, Brazil. klimt@terra.com.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Blood Cell Count Blood Proteins / analysis Child Child, Preschool Female Humans Immunoglobulins / blood Male Middle Aged Postoperative Period Radiopharmaceuticals / diagnostic use Spleen / injuries*, physiopathology*, radionuclide imaging, surgery* Splenectomy / methods* Splenic Rupture / diagnosis, physiopathology, surgery Technetium Tc 99m Sulfur Colloid / diagnostic use Trauma Severity Indices Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Blood Proteins; 0/Immunoglobulins; 0/Radiopharmaceuticals; 0/Technetium Tc 99m Sulfur Colloid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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