Alfaitory J.M; Abuzeid LA; Alrefaay N.
General Surgery Unit, Dept. of Surgery, 7th Oct. Hospital, Faculty of Medicine, Garyounis University, Benghazi, Libya
Garyounis Medical Journal Vol. 22, No.1. 2005:53-55
Background: Fulminant, potentially life threatening infection is a major long term risk after total splenectomy.
Objective: To analyze our experience with partial splenectomy from (1992-2002).
Setting: Department of surgery. Faculty of medicine. Garyounis University. Benghazi. Libya..
Materials and methods: Records of 42 patients subjected to partial splenectomy for traumatic and non- traumatic causes were reviewed for demographic features and to see wither these patients were unduly susceptible to serious infections.
Results: Immediate postoperative complications were observed in 7 cases (16.6%); re-bleeding in 3 (7.1%) necessitating re-exploration and total splenectomy and subphrenic collections in 4 (9.5%). The follow up period ranged from 2-6 years. No long-term septic complications were observed in 39 cases in which partial splenectomy was successful.
Conclusion: In this group of patients, partial splenectomy was shown to be associated with no increase in the rate of serious infection.
Keywords: Splenectomy. partial, infection, Libya, Benghazi