Abstract
Background: In view of splenectomy in dealing with certain clinical problems in paediatric age group. Objective: To describe the profile, indications, post-operative management and outcomes of children undergoing splenectomy. Methods: All children undergoing splenectomy from June’2019 till August’2021 at INDEX MEDICAL COLLEGE, INDORE, M.P. Results: The mean age at surgery was 9.9 years (range 3-16). Most splenectomies were per-formed for haematological disorders and were open .The mean post-operative length of stay (LOS) in patients who underwent open surgery was 4 days. No cases of overwhelming post splenectomy infec-tion (OPSI) were noted. At study completion, haematological disorders were the most common indication for splenectomy in children. Conclusion: Indications for paediatric splenectomy mirror those found in international litera-ture. We haven't performed splenectomy, laparoscopically. Within this short span of time, no mortal-ity was recorded. We did not have any case of OPSI. Key words: splenectomy
Highlights
Splenectomy is a well-described procedure in children
Most splenectomies were per-formed for haematological disorders and were open .The mean post-operative length of stay (LOS) in patients who underwent open surgery was 4 days
A total of 22 splenectomies were performed on children between JUNE 2019 and AUGUST 2021. 48% patients undergoing splenectomy were male, while 52% were female
Summary
Splenectomy is a well-described procedure in children. As opposed to the adult literature, trauma is an uncommon indication for splenectomy in children[1]. The pre-, peri- and postoperative manage-ment of paediatric patients undergoing elective and emergency splenectomy is well described within the international literature[2]. The objective of our study was to describe the profile, indications, post-operative management and outcomes of children undergoing splenectomy at INDEX MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, INDORE, M.P. between JUNE 2019 and AUGUST 2021. Objective: To describe the profile, indications, post-operative management and outcomes of children undergoing splenectomy. Methods: All children undergoing splenectomy from June’2019 till August’2021 at INDEX MEDICAL COLLEGE, INDORE, M.P. Results: The mean age at surgery was 9.9 years (range 3-16). Most splenectomies were per-formed for haematological disorders and were open .The mean post-operative length of stay (LOS) in patients who underwent open surgery was 4 days. Haematological disorders were the most common indication for splenectomy in children.
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