TITLE:
Splenectomy in the Surgery Department “A” at the University Hospital Point G Bamako
AUTHORS:
O. Sacko, M. Sissoko, S. Koumaré, L. Soumaré, M. Camara, S. Keita, S. Diallo, D. Dakouo, M. Coulibaly, A. Diakité, M. Traoré, G. Soumaré, A. F. Traoré, B. Touré, M. Diallo, M. Konaté, A. Koné, Y. Dianessy, B. Traoré, A. Koita, Sanogo Zimogo
KEYWORDS:
Splenectomy, Hematology, Septic Complication, Vaccination
JOURNAL NAME:
Surgical Science,
Vol.10 No.10,
October
9,
2019
ABSTRACT: We conducted a retrospective study that included patients with erythrocyte
and hemolytic pathology justifying a splenectomy and patients presenting
splenic trauma for which hemostasis splenectomy is required. We performed
27 total splenectomy in which 26 are by laparotomy (92.86%) and 1 by laparoscopy
(3.57%). A partial splenectomy was performed by laparoscopy. The
morbidity was marked by 2 cases of infectious syndrome and 1 case severe
anemia. The mortality was 7.14% (n = 2). Splenectomy is part of the therapeutic
arsenal for benign or malignant hematological disorders that constitute
the main indication for elective splenectomy. Splenectomy was one of the
most common operations in abdominal surgery. During the past decade, an
increased rate of late complications, specially septic and thromboembolic
complications are well documented. The risk is related to the indication of
splenectomy, and is less than 1% in adults without immunodeficiency. However,
these overwhelming postsplenectomy infections are associated with a
high mortality rate. The best treatment of these infections is preventive
measures which are based on vaccination and education of asplenic patients.