title: [Splenectomy in adult patients with idiopathic thrombocytopenic purpura after intravenous immunoglobulin treatment].
abstract: Eight patients with idiopathic thrombocytopenic purpura (ITP) and no response to steroids therapy were prepared for splenectomy, for 5 consecutive days, with intravenous immunoglobulin (IVIG, 0.4 g/kg body weight). Increase of platelet counts and/or remission of haemorrhagic diathesis were observed in 7 patients, in one case IVIG proved ineffective. Splenectomy was performed in 7 cases and the postoperative course was uneventful. IVIG treatment has proved efficient in preparing ITP patients for splenectomy.
authors.affiliation: Kliniki Chirurgicznej Instytutu Hematologii i Transfuzjologii, Warszawie.
authors.forename: T
authors.initials: T
authors.lastname: Nowak
authors.forename: W
authors.initials: W
authors.lastname: Kucharski
authors.forename: R
authors.initials: R
authors.lastname: Scharf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000628:therapy*; D013156:Splenectomy; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous
vernacular_title: Splenektomia u dorosłych chorych z samoistna małopłytkowościa po przygotowaniu dozylnymi preparatami immunoglobulin.