Document Detail


Splenosis after splenectomy and spleen tissue autoimplantation: Late followup study.
MedLine Citation:
PMID:  22869974     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
AIM: In children suffering from severe hepatosplenic schistosomiasis, the surgical protocol includes splenectomy and autoimplantation of spleen morsels in the major omentum, which has the potential of reducing the overwhelming postsplenectomy infection (OPSI). The purpose of the study was to evaluate the remaining splenosis, with the mean postoperative followup of 12.1 ± 5.6 years; to compare the efficacy of the 2 evaluation tools.
MATERIALS AND METHODS: Nineteen patients underwent, when they were children, portal decompression and autoimplantation of spleen. After a mean age of 23.4 ± 5.3 years, they were investigated regarding the number of infections and OPSI. They had undergone hepatosplenic scintigraphy with labeled colloidal SnTc(99m) and abdominal ultrasound. It was considered efficient splenosis when the patients presented with 5 or more spleen nodules. The evaluation was performed by 3 observers.
RESULTS: None of the patients had increased infection rate or developed OPSI. Sixteen (84.2%) presented efficient splenosis.
CONCLUSIONS: The remaining postoperative splenosis was considered efficient in the majority of patients in the long-term followup; and nuclear medicine was considered the gold standard for splenosis evaluation.
Authors:
Carlos T Brandt; S C S Brandão; A L C Domingues; L A Gondra; R A Viana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Indian Association of Pediatric Surgeons     Volume:  17     ISSN:  1998-3891     ISO Abbreviation:  J Indian Assoc Pediatr Surg     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-08-07     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101179870     Medline TA:  J Indian Assoc Pediatr Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  104-6     Citation Subset:  -    
Affiliation:
Department of Pediatric Surgery, Federal University of Pernambuco (UFPE), Brazil.
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