POSTOPERATIVE SPLENECTOMY COMPLICATIONS
Keywords:Elective Splenectomy,, Haematological Disorders,, Postoperative Complications,, Haemorrhage.
Objectives: To analyze the complications following elective splenectomy. Study
Design: Descriptive cross- sectional. Setting and Duration: This study was conducted in the
department of surgery, Madinah Teaching Hospital, Faisalabad from January 2011 to December
2016. Method: After a good preoperative workup and preparation, 112 patients underwent
elective open splenectomy from Jan 2011 to Dec 2016. Early postoperative complications
were recorded. P value <0.05 was considered significant. Results: Of 112 patients, 09 patients
(8%)presented with postoperative complications i.e, thrombocytosis in 4 patients (3.57%),
haemorrhage in 2 patients (1.79%), chest infection in 1, meningitis in 1 (0.89%) and ileus in
1 (0.89%). Mortality was seen in 1 patient (0.89%). The two patients with fatal postoperative
haemorrhage re-explored. One patient survived and other patient expired. Statistical analysis
showed significance of study, a P value of 0.01. Conclusion: In our institution complication
rate followingsplenectomy is equivalent to recent studies that is related to a good preoperative
workup, excellent surgical technique and a vigilant postoperative care.