2012, Number 5
AMC 2012; 16 (5)
Castelló GM, Delgado MN, Hernández ME, Pla DMJ
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ABSTRACTBackground: splenectomy is one of the most common surgical procedures performed in pediatric surgery. Many hematological diseases in children are treated with partial or total removal of the spleen. Objective: to assess the results of splenectomies performed in children with hematological diseases at the Pediatric Provincial Hospital Dr. Eduardo Agramonte Piña, Camagüey, from January 2000 to December 2009. Methods: a descriptive study was carried out in patients under eighteen years old who underwent splenectomy for hematological diseases. Data were obtained from the individual clinical histories and from the Hematology service. Information processing included the calculation of descriptive statistics and correlation between variables. Results: The majority of patients were more than ten years old at surgery, females prevailed. The main indication for splenectomy in patients with immune thrombocytopenic purpura was the lack of response to medical treatment, followed by sickle cell anemia with splenic sequestration crisis, and hereditary spherocytosis requiring multiple blood transfusions. More than a half of patients were admitted to hospital for six to seven days, and this time was lower when splenectomy was total. There were no complications related to the surgical intervention. In most cases, the clinical and hematological progress was favorable after surgery, although, some cases showed splenic remnant’s regrowth with hemolysis treated with partial splenectom y for hereditary spherocytosis.