Spleen Preserving Procedures and Blood Value Changes in Splenic Injuries

OBJECTIVE: In this study, blood value changes were investigatedin patients to whom spleen preserving produres were applied due to splenic trauma.
STUDY DESIGN: Spleen preserving procedure were applied to 19 patients who had splenicinjury. Blood values were evaluated the first, seventh, thirtieth postoperative days.
RESULTS: The mean age of the patients was 15.2 years and female/male ratio was 4/15.Splenic injury had occured due to blunt trauma (79%), stab wound in two patients (10.5%) in two patients (10.5%). Splenoraphy was carried out in 14 patients (73.8%) and partial was applied 3 patients (15.7%). Two (10.5%) were treated with nonoperative methods.
In all cases, postoperative blood values did not change significantly. Total morbidity was 16.5% and mortality was 0%.
CONCLUSION: As a conclusion, after spleen preserving procedures the the protective role of the spleen do not deteriorate. Therefore, if possible, spleen preserving procedures should be preferred in the treatment of injuries.

Dalak Koruyucu ve Kan Tablosundaki Deðiþiklikler

AMAÇ: Travmatik dalak koruyucu giriþimuygulanan hastalardaki kan tablosu deðiþiklikleri araþtýrýldý.
MATERYAL ve METOD: Dalak yaralanmasý tanýsý konan 19 hastada dalak koruyucu giriþim uygulandý. Kan deðerleri postoperatif birinci, yedinci ve otuzuncu günlerde deðerlendirildi.
BULGULAR: Hastalarýn yaþ ortalamasý 15.2 yýl, Kadýn/Erkek oraný ise 4/ 15 idi. Dalak yaralanmasýnýn nedeni 15 hastada (%79) künt travma, 2 hastada (%10.5) delici- kesici alet ve 2 hastada (%10.5) ise iatrojenik yaralanma idi. Ondört hastaya (%73.8) splenorafi ve üç hastaya (%15.7) splenektomi hasta (%10.5) ise nonoperatif'yöntemle tedavi edildi. Postoperatif kan deðerlerinde bir ay sonra kalýcý patolojik deðerler görülmedi.
Postoperatif komplikasyon oraný %16.5, mortalite is %0 idi.
SONUÇ: Dalak koruyucu ameliyatlardan sonra dalaðýn fonksiyonlarýnda ve koruyuculuðunda bir bozukluk olmaktadýr. Dolayýsýyla dalak yaralanmalarýnda mümkünse koruyucu giriþimler tercih edilmelidir.