[Prognostic factors for splenectomy for hematologic diseases].
The aim of this study was to identify the prognostic factors of intraoperative haemorrhage, perioperative blood transfusions and morbidity. We collected 120 splenectomies in Beau Séjour department of surgery, Charles' Nicolle Hospital, Tunis, Tunisia between 1979 and 1999. The descriptive analysis showed sex-ratio 0.82 with mean age (+/- standard deviation) 30.6 +/- 15 year. Idiopathic thrombopenic purpura was the principal disease indicating splenectomy. Morbidity was defined as occurrence of post operative peritoneal sepsis or bleeding. The mortality and morbidity rates were respectively 0.8% and 6.6%. The prognostic analysis didn't identify predictive factors of intraoperative haemorrhage, however it identified two independent predictive actors of specific morbidity: intraoperative haemorrhage (p = 0.03) and preoperative rate of haemoglobin (p = 0.0049).
Hani
Mohamed Aziz
MA
Service de Chirurgie Beau Séjour, Hôpital Charles Nicolle, Tunis.
Ben Achour
Jamel
J
Zribi
Riadh
R
Sghairoun
Nada
N
Zoghlami
Ayoub
A
Daghfous
Mounir
M
Najah
Nabil
N
D000293:Adolescent; D000328:Adult; D005260:Female; D006402:Hematologic Diseases / Q000628:therapy*; D006470:Hemorrhage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010347:Patient Care Planning; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D018805:Sepsis; D013156:Splenectomy
Facteurs pronostiques des splenectomies pour rate hematologique.