[Early and late results of heterotopic spleen autotransplantation in pediatric splenic trauma].
In this study, early and late results of heterotopic splenic autotransplantation in 18 children with type IV splenic injuries (Upadhyaya-Simpson classification) are presented. Splenic scintigrams, quantitative analysis of Howell-Jolly inclusion bodies, immunoglobulin (IgG, IgM, IgA) and complement C3 levels and T and B lymphocyte counts were analysed in the postoperative evaluation of the autotransplantation group. The total follow-up period was 7 years. According to our results, splenic implants increased complement C3 levels and improved filtration function of the splenectomized children. This autotransplantation group has two important characteristics: a) it is one of the largest series of the literature (pediatric age group), with b) longest follow-up period.
Büyükünal
C
C
Kinderchirurgische Klinik, Medizinischen Fakultät Cerrahpaşa der Universität Istanbul, Türkei.
Söylet
Y
Y
Danişmend
N
N
Urgancicoğlu
I
I
Senyüz
O F
OF
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007075:Immunoglobulin M / Q000032:analysis; D007223:Infant; D007958:Leukocyte Count; D008297:Male; D011183:Postoperative Complications / Q000473:pathology; D013154:Spleen / Q000473:pathology / Q000637:transplantation*; D013156:Splenectomy; D013161:Splenic Rupture / Q000601:surgery*
D007074:Immunoglobulin G; D007075:Immunoglobulin M
Früh- und Spätresultate heterotoper Milzautotransplantation beim kindlichen Milztrauma.