SciELO - Scientific Electronic Library Online

 
vol.60 número4Identification of β-thalassemia in hypochromic microcytic anemias refractory to iron treatment in NicaraguaSurvival of children born with congenital heart defects in Costa Rica: a retrospective study of the birth cohort 2006-2007 índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Acta Médica Costarricense

versão On-line ISSN 0001-6002versão impressa ISSN 0001-6012

Resumo

ARAYA SOLIS, Carolina; GAMBOA CHAVES, Ana Yéssika  e  QUIROS MATA, Mónica. Experience on children’s splenectomy: a ten year single center retrospective study. Acta méd. costarric [online]. 2018, vol.60, n.4, pp.167-171. ISSN 0001-6002.

Aim:

To describe clinical characteristics and evolution of patients who underwent splenectomy in Costa Rica’s National Children’s Hospital during January 1996 through December 2006.

Methods:

This is a chart review study in a 10 year period including children who underwent splenectomy. A hundred and seven charts of children with ages between 0 and 18 years old were reviewed to obtain their clinical presentation, characteristics, indications for splenectomy, follow up, complications and mortality. Also the antibiotic prophylaxis and immunization schedule was analyzed based on international recommendations.

Results:

A total of 107 patients were included. Results showed that the mean age at which splenectomy was performed was 6.4 years. Most of the patients had their splenectomy due to hemoglobinophaties (59.8%), followed by immune thrombocytopenic purpura (16.8%) and malignant osteopetrosis (8.4%). The most common indications for splenectomy were treatment of the disease (39.9%), hyperesplenism (26.2%) and lack of responde to medical treatment (22.4%). Laparotomy was the most performed surgery (87.9%). Mainly sepsis and hemorrhage were found as complications due to procedure. Overall, complete response to surgical treatment was observed (66.7%). Five patients died during follow up.

Conclusions:

Splenectomy is an alternative for treating medical disease with predominantly good outcomes observed in our study.

Palavras-chave : splenectomy; complications; antibiotic profilaxis; inmunization; children; Costa Rica; Latin America; Centralmerica.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )