Shapkin Iu G, Masliakov V V
Vestn Khir Im I I Grek. 2004;163(3):59-61.
The course of the nearest postoperative period was studied in 56 children operated on for closed injury of the spleen. Spleenectomy was performed in 17 (30.3%) patients, in 39 (69.6%) patients spleenectomy was supplemented with autolientransplantation. In the nearest postoperative period after spleenectomy complications were noted in 3 (5.3%) cases, lethal outcome took place in 1 case (1.7%). Long-term results of treatment were analyzed in 56 children: in 17 of them spleenectomy had been performed, in 39--spleenectomy with autolientransplantation. The results of the investigation have shown that the greatest number of complications took place in the group of patients after spleenectomy (48), while after autolientransplantation there were only 13. The complications were mainly due to reduced immune resistance of organism.