SciELO - Scientific Electronic Library Online

 
vol.36 número3Ictericia mecánica por páncreas anular: Presentación de un casoHistoria de la cirugía del esófago en el Hospital Universitario "General Calixto García índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Cubana de Cirugía

versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945

Resumen

SIERRA ENRIQUE, Eddy; MARTINEZ RAMOS, Gilberto; DIAZ GONZALEZ, Eduardo  y  ALVAREZ DIEPA, Manuel. Esplenectomía incidental: ¿Está justificada?. Rev Cubana Cir [online]. 1997, vol.36, n.3, pp.206-216. ISSN 0034-7493.

77 medical histories of patients who presented incidental injuries of the spleen occurred between 1985 and 1994, during intraabdominal operations and by laparoscopic examination, were reviewed. The immunological functions of the spleen and its role against infections are well defined, so the removal of this organ due to incidental injuries favors the appearance of infections in these patients for the rest of their lives. Of the 77 incidental injuries 47 (61 %) incidental splenectomies and 30 (39 %) conservative surgeries were performed. Duodenal ulcer and hiatal hernia proved to be the main causes of incidental splenectomy. There were 11 infections (23.4 %) and 1 death (2.1 %) in the incidental splenectomy compared with 1 infection (3.3 %) and no death in the conservative surgery. It is concluded that splenectomy is not justified because of its disadvantages

Palabras clave : SPLENECTOMY [adverse effects]; POSTOPERATIVE COMPLICATIONS [etiology]; SURGICAL WOUND INFECTION [etiology]; SPLEEN [surgery]; DUODENAL ULCER [surgery]; HERNIA, HIATAL [surgery]; IATROGENIC DISEASE.

        · resumen en Español     · texto en Español

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons