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Year : 2008  |  Volume : 11  |  Issue : 1  |  Page : 15-19

Splenic operations in a teaching hospital, South-Western Nigeria

Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria

Correspondence Address:
A S Oguntola
Department of Surgery, LAUTECH Teaching Hospital, Oshogbo
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Source of Support: None, Conflict of Interest: None

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Background/Objective: To review all Splenic operations performed at LAUTECH Teaching, Hospital (LTH) over a four year period- highlighting the indications, associated injuries in trauma patients, complications, outcome of management and follow up care. Patients and Methods: Information including demographic data, indications for operation,, treatment and follow up care were obtained from case notes, theatre records and histology laboratory records; these were analyzed by simple percentage. Result: Twenty-six cases (M: F-18.8) with ages ranging between two and fifty-two years (mean 24.8 years) were treated. Eighty-eight percent were done as emergencies, 95% of these were for blunt abdominal injuries. Road traffic accident was the cause in above 50% of all patients with injuries while other indications included TSS, haematological, etc. Four (17%) of trauma patients had splenic preservation procedures done. Patients with wound infection, wound dehiscence and acute gastric dilatation were seven, five and one, respectively. No case of overwhelming post-splenectomy sepsis was seen. Mortality was 15.4%. Conclusion: As trauma is the most common indication for operations on the spleen, spleen conservation should be practiced more often where open procedures are indicated.

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