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30 Years' Experience

W. Daniel Traetow, MD; Peter J. Fabri, MD; Larry C. Carey, MD

Arch Surg. 1980;115(4):447-451.

Abstract
• During the last three decades, 2,417 splenectomies have been performed at The Ohio State University Hospital. indications for splenectomy include hypersplenism, incidental to other abdominal procedures, trauma, Hodgkin's staging, and other splenic disease. Hodgkin's staging has become the most frequent indication for splenectomy during the past five years, whereas splenectomy for hypersplenism has decreased. Thrombocytosis (platelet counts >400,000/cu mm) was observed in 47% of all patients. Ninety-three percent of all thromboembolic complications occurred in this group. The overall morbidity of 39% has been decreased to 15% during the last five years. In-hospital mortality has decreased from 9.5% to 6%. Incidental splenectomy, even for benign disease, continues to be associated with complications and death.

(Arch Surg 115:447-451, 1980)

Author Affiliations
From the Department of Surgery, Ohio State University, Columbus.

Footnotes
Accepted for publication Dec 17, 1979.

Read before the 87th annual meeting of the Western Surgical Association, Colorado Springs, Nov 13, 1979.

Reprint requests to Department of Surgery, Ohio State University, 410 W Tenth Ave, Columbus, OH 43210 (Dr Fabri).

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