[Conservative treatment of the spleen. Report of 50 cases].
From 1983 to 1989, 50 patients have been treated by spleen conservation. Traumatism was iatrogenic in 9 cases, caused by public highway accidents in 31 cases, domestic accident in 9 cases and penetrating trauma in one case. Spleen conservation includes: 26 partial splenectomies, 11 cauterisations, 10 sutures, 5 auto-transplantations, and 3 abstensions after laparotomy and little spleen trauma. Three deaths were observed secondary to cerebral trauma, and two complications have been seen: one during the operative solved by total splenectomy, and one rebleeding after splenorraphy, reoperated and splenectomy was performed with good evolution. The follow-up of partial splenectomy showed that splenic remnant keeps an epuration activity.
Kehila
M
M
Service de Chirurgie Générale, CHU, Sousse, Tunisie.
Dahmane
Y
Y
Abbassi-Bekir
D
D
Kechida
M
M
Ben Ali
A
A
Letaief
R
R
Ben Hadj Hamida
R
R
Gharbi
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000293:injuries* / Q000637:transplantation; D013156:Splenectomy; D013158:Splenic Diseases / Q000601:surgery*; D014182:Transplantation, Autologous
Le traitement conservateur de la rate. A propos de cinquante cas.