[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
April 1980

Changing Indications for Splenectomy30 Years' Experience

Author Affiliations

From the Department of Surgery, Ohio State University, Columbus.

Arch Surg. 1980;115(4):447-451. doi:10.1001/archsurg.1980.01380040073013
Abstract

• During the last three decades, 2,417 splenectomies have been performed at The Ohio State University Hospital. indications for splenectomy include hypersplenism, incidental to other abdominal procedures, trauma, Hodgkin's staging, and other splenic disease. Hodgkin's staging has become the most frequent indication for splenectomy during the past five years, whereas splenectomy for hypersplenism has decreased. Thrombocytosis (platelet counts >400,000/cu mm) was observed in 47% of all patients. Ninety-three percent of all thromboembolic complications occurred in this group. The overall morbidity of 39% has been decreased to 15% during the last five years. In-hospital mortality has decreased from 9.5% to 6%. Incidental splenectomy, even for benign disease, continues to be associated with complications and death.

(Arch Surg 115:447-451, 1980)

References
1.
Schwartz SI, Adams JT, Bauman AW:  Splenectomy for hematologic disorders . Curr Probl Surg 8:1-57, 1971.Article
2.
Fabri PJ, Metz EN, Nick WV, et al:  A quarter century with splenectomy . Arch Surg 108:569-575, 1974.Article
3.
Carbone PP, Kaplan HS, Musshoff K, et al:  Report of the committee on Hodgkin's disease staging classification . Cancer Res 31:1860-1861, 1971.
4.
Anderson CV, Ballinger WF:  Abdominal injuries , in Ballinger WF, Rutherford RB, Zuidema BW(eds): The Management of Trauma , ed 2. New York, WB Saunders Co, 1973, pp 417-418.
5.
Steele M, Lin RC:  Advances in management of splenic injuries . Am J Surg 130:159-165, 1975.Article
6.
Douglas GJ, Simpson JJ:  The conservative management of splenic trauma . J Pediatr Surg 6:565-570, 1971.Article
7.
Cioffiro W, Schlin CJ, Gliedman MD:  Splenic injury during abdominal surgery . Arch Surg 111:167-171, 1976.Article
8.
Roy M, Geller JS:  Increased morbidity of iatrogenic splenectomy . Surg Gynecol Obstet 139:392-394, 1974.
9.
Klaue P, Eckert P, Kern E:  Incidental splenectomy: Early and late postoperative complications . Am J Surg 138:296-300, 1976.Article
10.
Kickerman JD:  Bacterial infections and the asplenic host: A review . J Trauma 16:662-668, 1976.Article
11.
Balfang JR, Nesbit ME, Jarvis C, et al:  Overwhelming sepsis following splenectomy for trauma . J Pediatr 88:458-460, 1976.Article
12.
Ein SH, Shandling B, Simpson IS, et al:  The morbidity and mortality of splenectomy in childhood . Ann Surg 185:307-310, 1977.Article
13.
Boxer MA, Brown J, Ellman L:  Thromboembolic risk of postsplenectomy thrombocytosis . Arch Surg 113:808-809, 1978.Article
14.
Coon WW, Penna J, Clagett GP, et al:  Deep venous thrombosis and postsplenectomy thrombocytosis . Arch Surg 113:429-431, 1978.Article
15.
Gordon DH, Schaffner D, Bennett JM, et al:  Postsplenectomy thrombocytosis . Arch Surg 113:713-715, 1978.Article
16.
Weiss HJ:  Antiplatelet therapy . N Engl J Med 298:1344-1347, 1403-1406, 1978.Article
×