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Splenectomy for Disease

  • Jameson L. Chassin

Abstract

Since the specific therapy for the group of diseases that require splenectomy is often in a state of flux and since some of the conditions are complicated by problems of coagulation, it is important that the indications and timing for surgery be worked out in close cooperation with an experienced hematologist. Splenectomy is generally indicated for patients with hereditary anemias (spherocytosis, elliptocytosis, nonspherocytic hemolytic anemia), primary hypersplenism, and chronic idiopathic thrombocytopenic purpura. Patients with autoimmune hemolytic anemia, secondary hypersplenism, thalassemia, myelofibrosis, chronic lymphatic leukemia, and lymphoma also may benefit from splenectomy in selected situations. Until recently splenectomy was a routine part of the staging procedure for patients with Hodgkin’s disease, but this is no longer universally accepted.

Keywords

Splenic Artery Short Gastric Vessel Accessory Spleen Splenic Hilus Splenic Abscess 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Gordon DH, Schaffner D, Bennett JM, Schwartz SI (1978) Postsplenectomy thrombocytosis: its association with mesenteric, portal, and/or renal thrombosis in patients with myeloproliferative disorders. Arch Surg 113: 713PubMedCrossRefGoogle Scholar
  2. Levy J, Wasserman P, Pitha N (1979) Presplenectomy transcatheter occlusion of the splenic artery. Arch Surg 114: 198PubMedCrossRefGoogle Scholar
  3. Traetow WD, Fabri PJ, Carey LC (1980) Changing indications for splenectomy. Arch Surg 115: 447PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

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