title: Advantages of the spared surgical treatment of the spleen injuries in the clinical conditions.
abstract: OBJECTIVE
  Aim of this study was to compare clinical, biochemical and hematological parameters of the patients after posttraumatic splenectomy, posttraumatic spleen preservation and auto transplantation and the control group of the patients.
  
  
  METHODS
  The study included data on 169 patients treated at the University Surgery Department, University Hospital Split, from 1998 till 2006. There were 127 male, and 42 female patients, mean age was 40,3 years (range 15-74), 137 of the patients underwent surgery and 32 were treated without operation. A group of 29 patients, who underwent inguinal hernia repair, was the control group.
  
  
  RESULTS
  Reduction in postoperative morbidity, hospital stays and blood products administration are achieved if the spleen is preserved. The values of Howell-Jolly bodies, CH50 complement particles, IgM antibodies, lymphocytes and monocites are reduced if the spleen is not preserved.
  
  
  CONCLUSIONS
  No operative treatment and spleen preserving surgical procedures are superior to the splenectomy in the spleen trauma treatment. Splenectomy should be avoided whenever is possible.
authors.affiliation: Department of Surgery, Split University Hospital and Split University School of Medicine, Spincićeva 1, 21000 Split, Croatia.
authors.forename: Leo
authors.initials: L
authors.lastname: Grandić
authors.forename: Zenon
authors.initials: Z
authors.lastname: Pogorelić
authors.forename: Josip
authors.initials: J
authors.lastname: Banović
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Perko
authors.forename: Vladimir
authors.initials: V
authors.lastname: Boschi
authors.forename: Nenad
authors.initials: N
authors.lastname: Ilić
authors.forename: Andro
authors.initials: A
authors.lastname: Tripković
authors.forename: Dragan
authors.initials: D
authors.lastname: Sarić
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001803:Blood Transfusion / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013154:Spleen / Q000293:injuries* / Q000637:transplantation; D013156:Splenectomy / Q000009:adverse effects / Q000379:methods; D014182:Transplantation, Autologous; D055815:Young Adult