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Die heterotope Autotransplantation von Milzpulpa nach irreparabler Milzruptur

Heterotopic autotransplantation of splemic tissue following traumatic rupture of the spleen. Clinical experiences with 8 cases

Ein klinischer Erfahrungsbericht über 8 Fälle

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Zusammenfassung

In den Jahren 1981 und 1982 wurde in 8 Fällen von traumatischer Milzruptur die Autotransplantation zerkleinerter Milzpulpa in eine Netztasche vorgenommen. Die Verlaufskontrolle erfolgte an Hand klinischer Beobachtungen, des IgM-Wertes, der Howell-Jolly-Körperchen, der Thrombozyten, sonographisch und szintigraphisch. In 2 Fällen ging das Autotransplantat verloren, vermutlich durch Infektion. In 6 Fällen belegen die Parameter eine Teilerhaltung der Milzfunktion.

Summary

In 1981 and 1982, 8 cases of traumatic rupture of the spleen were treated by autotransplantation of splenic tissue into an omental pouch. The further course was evaluated on the basis on clinical observations, IgM, Howell-Jolly-and platelet counts, sonography and scintigraphy. In 2 cases, the autotranplants were lost, most probably consequential to bacterial contamination. In 6 cases, the parameters recorded indicate partial restoration of splenic function.

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Meissner, K., Meiser, G. Die heterotope Autotransplantation von Milzpulpa nach irreparabler Milzruptur. Acta Chir Austriaca 15, 87–92 (1983). https://doi.org/10.1007/BF02656218

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