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Updated: Jun 4, 2026
Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Transforming management of patients undergoing splenectomy in an Irish teaching hospital
S M McHugh1, J O'Donnell, A Leahy
1Beaumont Hospital, Dublin 9, Ireland. seamusmchugh@rcsi.ie
Background:
Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available.
Aim:
To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care.
Method:
Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008.
Results:
Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged.
Conclusions:
These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.
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