Splenectomy for Tropical Splenomegaly

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Splenectomy in massive tropical splenomegaly: two-to six-year follow-up in 14 patients.

Between 1978 and 1982, 14 patients underwent splenectomy for disabling massive splenomegaly at the Regency Hospital in Wamena in the highlands of Irian Jaya, Indonesia. All patients were clinically diagnosed as having tropical splenomegaly syndrome (hyperreactive malarial splenomegaly), but in no case was the diagnosis confirmed. In May 1984 nurses and physicians caring for these 14 patients we...

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Results of Splenectomy for Tropical Splenomegaly

The last one was a case of intracapsular rupture, the capsule forming a big cyst and filling up most of the abdomen. The photographs illustrate the enormous size of the spleens as compared with the anatomical specimen in the middle; the spleens had got considerably hardened and shrunken in the pathological museum. The small spleen is a papier maclie model of a normal organ from the anatomy muse...

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Minimal-Access Splenectomy: a Viable Alternative to Laparoscopic Splenectomy in Massive Splenomegaly

BACKGROUND Laparoscopic splenectomy of normal-sized spleens or in moderate splenomegaly is performed with increasing frequency. By using a modification of the open laparotomy, minimal-access splenectomy is an attractive alternative in severe splenomegaly. METHODS Between September 2002 and October 2003, 9 patients (mean age, 58.8 years; range, 41 to 72) with severe splenomegaly (mean length, ...

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Splenomegaly and splenectomy in sarcoidosis.

The natural history of 30 patients with sarcoidosis who showed histological evidence of granulomatous involvement of the spleen has been studied; 24 patients had splenomegaly, 16 of whom had splenectomy. The main indication for splenectomy was splenomegaly and resultant discomfort. Corticosteroids reduced spleen size but reduction or withdrawal of the relatively high dosage required resulted in...

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Massive Splenomegaly in Children: Laparoscopic Versus Open Splenectomy

BACKGROUND AND OBJECTIVES Laparoscopic splenectomy for massive splenomegaly is still a controversial procedure as compared with open splenectomy. We aimed to compare the feasibility of laparoscopic splenectomy versus open splenectomy for massive splenomegaly from different surgical aspects in children. METHODS The data of children aged <12 years with massive splenomegaly who underwent splenec...

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عنوان ژورنال:

دوره 70  شماره 

صفحات  -

تاریخ انتشار 2016