Abstract
Splenic function is pivotal to host immunity. The spleen is often affected by blunt abdominal trauma, and general surgical input is required for management of these patients. Multiple hematological and hepatobiliary disorders affect the spleen, and surgical input may be required to discuss elective splenectomy. Asplenic patients can present with fulminant sepsis, a condition that requires immediate identification and aggressive treatment.
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Hildebrand DR, et al. Modern management of splenic trauma. BMJ. 2014;348:g1864.
Rodeghiero F, et al. Short- and long-term risks of splenectomy for benign haematological disorders: should we revisit the indications? Br J Haematol. 2012;158:16.
Rubin LG, et al. Clinical practice. Care of the asplenic patient. N Engl J Med. 2014;371:349.
Sun LM, et al. Splenectomy and increased subsequent cancer risk: a nationwide population-based cohort study. Am J Surg. 2015;210:243.
Theilacker C, et al. Overwhelming postsplenectomy infection: a prospective multicenter cohort study. Clin Infect Dis. 2016;62:871.
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Wichmann, M.W., McCullough, T.K. (2019). Spleen. In: Wichmann, M., McCullough, T., Roberts-Thomson, I., Maddern, G. (eds) Gastroenterology For General Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-92768-8_9
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DOI: https://doi.org/10.1007/978-3-319-92768-8_9
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