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March 17, 1951

Indications for and Results of Splenectomy

JAMA. 1951;145(11):857. doi:10.1001/jama.1951.02920290083045

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This monograph is a report of past experiences and present knowledge of those diseases of the spleen treated by splenectomy. All the patients on whom splenectomy was performed as an elective procedure during the past 15 years have been studied, and their present physical status is evaluated. There is a listing of the normal functions of the spleen so far as they are known. The 15 year period in which this study was conducted extended from July 1934 to July 1949. A total of 204 spleens were removed, and, of these, 72 were removed for traumatic splenic rupture. One hundred and thirty-two spleens were removed for splenic malfunctions or enlargements. Nine hospital deaths were reported, giving a hospital mortality rate of 7.6 per cent. Although abbreviated, the material in this work is well presented and well correlated. It is unfortunate that the section dealing with the technic of splenectomy did

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