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Infectious complications after splenectomy.

A Carlstedt, B Tholin

    Acta Chirurgica Scandinavica
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Splenectomy significantly increases the risk of early infectious complications, with rates ranging from 14-29%. Prophylactic antibiotics are recommended following splenectomy due to high infection incidence.

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    Area of Science:

    • Surgery
    • Infectious Diseases
    • Immunology

    Background:

    • Splenectomy, the surgical removal of the spleen, can lead to increased susceptibility to infections.
    • Understanding the incidence of early infectious complications post-splenectomy is crucial for patient management.

    Purpose of the Study:

    • To retrospectively investigate the incidence of early infectious complications following splenectomy.
    • To compare infection rates in splenectomy patients with a control group.

    Main Methods:

    • Retrospective analysis of 133 patients who underwent splenectomy between 1975 and 1982.
    • Comparison with a control group undergoing selective proximal vagotomy during the same period.

    Main Results:

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  • The early postoperative infection rate in splenectomy patients ranged from 14% to 29%, depending on the reason for surgery.
  • The control group had a significantly lower postoperative infection rate of 5%.
  • 17 out of 133 splenectomy patients (approximately 13%) were hospitalized for infections between 18 months and 8 years post-surgery.

    • Conclusions:

    • Splenectomy is associated with a high incidence of early infectious complications.
    • Prophylactic antibiotic treatment should be considered in patients undergoing splenectomy to mitigate infection risk.