Irshad Ahmad, Saira Saleem, Shakeel Anjum, Rehan A G.
Splenectomy; Postoperative Splenectomy Complications.
Professional Med J Jan ;24(9):1322-6.

Objectives: To analyze the complications following elective splenectomy. Study Design: Descriptive cross- sectional. Setting and Duration: This study was conducted in the department of surgery, Madinah Teaching Hospital, Faisalabad from January 2011 to December 2016. Method: After a good preoperative workup and preparation, 112 patients underwent elective open splenectomy from Jan 2011 to Dec 2016. Early postoperative complications were recorded. P value <0.05 was considered significant. Results: Of 112 patients, 09 patients (8%)presented with postoperative complications i.e, thrombocytosis in 4 patients (3.57%), haemorrhage in 2 patients (1.79%), chest infection in 1, meningitis in 1 (0.89%) and ileus in 1 (0.89%). Mortality was seen in 1 patient (0.89%). The two patients with fatal postoperative haemorrhage re-explored. One patient survived and other patient expired. Statistical analysis showed significance of study, a P value of 0.01. Conclusion: In our institution complication rate followingsplenectomy is equivalent to recent studies that is related to a good preoperative workup, excellent surgical technique and a vigilant postoperative care.

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