“Early Postoperative Outcome of Splenectomized Children'”
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Abstract
Background: Splenectomy in children is an uncommon procedure. Data based on children, who underwent splenectomy in Bangladesh are scarely published. Incidence of early postoperative complications is highest from first to third days after surgery. So, the objective of our study to find out the early postoperative outcome of splenectomized children.
Methods and Materials: Patients who underwent splenectomy from Jan' 2016 to Dec'2023 were reviewed retrospectively from the medical files in the Pediatric Surgery Department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Datas were analysed by using the Statistical Package of Social Science of Software Program (SPSS) version 26.
Results: In our study 55.7% were male patients. Age range was (4-18) years, mean age 11.02+3.92. Among them 63.9%(101) patients was within the age (> 5 to 12) years,. 27.8% (44) patients was (>12- 18) years, and 8.3% (13) patients was (1-5) years of age.
Indication of the splenectomy was mostly (70.3%) Hb E- beta thalassemia.93.1% patients had history of repeated blood transfusion.Patients Hb level significantly(p<0.001)) increased after splenectomy. 66.5%(105) patients developed no complication after splenectomy and 33.5% (53) patients developed different types of early postoperative complications. Of them 37(23.3%) patients developed thrombocytosis, 8( 5.1%) patients developed portal vein thrombosis, 5(3.2%) patients intra-abdominal hemorrhage and death occurred only in 3(1.9%) of patients.
Conclusion: Indications for splenectomy in our institution was mostly hematologic disorders patients. Complications after splenectomy were equivalent to other literatures.