| ORIGINAL ARTICLE |
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| Year : 2008 | Volume
: 11
| Issue : 1 | Page : 15-19 |
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Splenic operations in a teaching hospital, South-Western Nigeria
AS Oguntola, AOA Aderonmu, ML Adeoti, SA Olatoke, RO Bello, TB Rabiu
Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria
Correspondence Address:
A S Oguntola
Department of Surgery, LAUTECH Teaching Hospital, Oshogbo
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
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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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