Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2014  |  Volume : 33  |  Issue : 2  |  Page : 81-85

Splenic bed lavage: a new technique to avoid postsplenectomy subphrenic abscess in patients with portal hypertension


1 Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
2 Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt
3 Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Correspondence Address:
Wael E Lotfy
MD, Prof. of General Surgery, Faculty of Medicine, Zagazig University, El Mohafza Tower behind Kasr El Thakafa Zagazig-Sharkeia
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1121.131653

Rights and Permissions

Aim The aim of the study was to evaluate the effectiveness of splenic bed lavage (SBL) (new technique) in prophylaxis against postsplenectomy subphrenic abscess. Study type This was a randomized control trial. Patients and methods A total of 44 patients with splenomegaly due to portal hypertension underwent splenectomy. They were randomized into two groups: group I included 25 patients who underwent SBL postoperatively and group II included 19 patients who underwent only tube drainage of the splenic bed. All patients were followed up by ultrasonography to check for occurrence of subphrenic collection. Results None of the group I patients developed subphrenic abscess (0% risk), whereas three patients in group II developed subphrenic abscesses, which needed either ultrasonography-guided drainage or open surgical drainage. Conclusion SBL is an effective technique to prevent subphrenic abscess after splenectomy in patients with portal hypertension.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1471    
    Printed16    
    Emailed1    
    PDF Downloaded105    
    Comments [Add]    

Recommend this journal