[Primary clinical experience with heterotopic autologous transplantation of the spleen].

On the basis of research and results obtained in recent years that the removing of the spleen increases an aptitude to the infection, the authors have carried out in 1981-1982 four autotransplantations of the spleen; they did it in polytraumatised patients with an extensive rupture of the spleen, where, because of the safe haemostasis, only a splenectomy should have to be performed. By a new technique, removed ruptured spleen is prepared with special procedure, and it is transplanted into the omentum majus of the same patient. There were no complications, although it is concerned of a few patients and a short postoperative follow-up. Three to four months after surgery, the Howwel-Jolly bodies became normal as well as vacuolated erythrocytes and immunophoresis, so that it corresponds to the normal, in-situ, spleen activity; it means that it is to expect a sufficient protection against an infection.