[Thrombocytosis after splenectomy in children]

Area of Science:

• Pediatric Surgery
• Hematology
• Trauma Management

Background:

• Traumatic spleen injuries are common in children.
• Surgical management options include splenectomy and organ-sparing procedures.
• The hematological consequences of these treatments require further investigation.

Purpose of the Study:

• To compare hematological indices in children with spleen trauma.
• To investigate the occurrence of thrombocytosis after splenectomy versus organ-sparing treatment.
• To assess the impact of accessory spleens on postoperative hematological changes.

Main Methods:

• Comparative analysis of hematological indices in 50 pediatric patients with spleen trauma.
• Patients were divided into two groups: splenectomy (29 patients) and organ-sparing treatment (21 patients).
• Postoperative monitoring for hematological changes, specifically thrombocytosis, was conducted.

Main Results:

• No fatalities were reported in either treatment group.
• Seven patients (24.1%) who underwent splenectomy developed thrombocytosis between 3-6 days post-surgery, peaking at 10-12 days.
• Thrombocytosis was not observed in patients treated with organ-sparing surgery or in those with an accessory spleen who underwent splenectomy.

Conclusions:

• Splenectomy in children with traumatic spleen injuries can lead to postoperative thrombocytosis.
• Organ-sparing treatment appears to mitigate the risk of thrombocytosis.
• The presence of an accessory spleen may also prevent postoperative thrombocytosis following splenectomy.