title: [Observatory surgical treatment in ruptures of the spleen in children (splenorrhaphy)].
abstract: An increasingly large number of observations have been published in the last decade on the risk of suprainfection, which is frequently a cause of death, in the splenectomized children and adolescents. Fulminant infections, frequently determined by capsulated germs (pneumococcus), are due to a reduction of the phagocytic activity, as well as to diminished amounts of circulating immunoglobulinic antibodies (IgM). Although it was believed that splenic suture is not feasible several studies have been published recently presenting the results of experiments and of clinical observations, which demonstrate the opposite of this view. The authors have successfully treated 4 patients with traumatic ruptures of the spleen, all of them occurring in children. The procedure is relatively easy to perform.
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011008:Pneumococcal Infections / Q000188:drug therapy; D011183:Postoperative Complications; D013156:Splenectomy; D013161:Splenic Rupture / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Tratamentul chirurgical observator în rupturile splinei la copil (splenorafia).