Assessment of post-splenectomy residual splenic function. Splenic autotransplants.
Splenectomy increases the risk of fulminant sepsis. The present study assesses residual splenic function in patients splenectomized due to traumatic rupture of the spleen; and six cases with splenic autotransplants. Splenic tissue was observed in only 48% of the splenectomized patients and 100% of the autotransplant cases. The two most reliable analytical parameters to assess the presence of functional splenic tissue, were the absence of Howell-Jolly bodies and normal IgM blood levels. In cases where total splenectomy is indicated, it has proved useful to perform autotransplantation of splenic tissue at omentum major level.
Revuelta Alvarez
S
S
Servicio de Cirugía General y Apto. Digestivo, Hospital Nacional, Marques de Valdecilla, Santander, Spain.
Fernandez-Escalante
C
C
Casanova Rituerto
D
D
Lopez Espadas
F
F
Martin Fernandez
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003176:Complement C3 / Q000032:analysis; D004908:Erythrocyte Inclusions; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D008297:Male; D008875:Middle Aged; D010976:Platelet Count; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging / Q000502:physiology* / Q000637:transplantation; D013156:Splenectomy; D013161:Splenic Rupture / Q000601:surgery; D014182:Transplantation, Autologous
D003176:Complement C3; D007075:Immunoglobulin M