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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2019.113

Type of Article: Original Research

Volume 6; Issue 4: 2019

Page No.: 817-820

DOI: 10.16965/ijims.2019.113

COMPARISON BETWEEN OPEN AND LAPAROSCOPIC SPLENECTOMY FOR HAEMATOLOGICAL DISORDER

Sajad Geelani 1, Sahil Sandal 2, Mubashir Shah 3, Sameer Naqash 4, Syed Mudasir Qadri 5, Javid Rasool 6, Subuh Parvez  Khan *7.

1 Additional Professor, Department of Clinical Haematology, Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

2 MS General Surgery, Sher e Kashmir Institute of Medical Sciences,Srinagar, J&K, India.

3 Additional Professor, Department of general and minimal invasive surgery, Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

4 Professor, Department of general and minimal invasive surgery, Sher e Kashmir Institute of Medical Sciences,Srinagar, J&K, India.

5 Associate Professor, Department of Internal Medicine, Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

6 Professor and Head of department of Clinical Haematology Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

*7 Senior Resident, Department of Haematopathology , Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K India.

Corresponding Author: Dr.Subuh Parvez  Khan, Senior Resident, Department of Haematopathology, Sher e Kashmir Institute of Medical Sciences, Srinagar, J&K India. E-Mail: khansubuh@gmail.com.

ABSTRACT:

Introduction: Splenectomy addresses the role of the spleen in hematological disorders particularly those of cellular sequestration and destruction and antibody production. Splenectomy is indicated in specific  cases of anemia.

Material and methods: The study was conducted in the department of General  and Minimal Invasive Surgery in collaboration with the department of Clinical Hematology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar from Jan 2012 to Jan 2016.The study included 33 patients The patients were studied in regards to the variables1.clinical and demographic information. 2.surgical findings.3.preoperative and post operative haematological profile.4.immediate and late complications.5.hospital stay6.persistence of disease.

Result: In our study, out of 33 patients, laparascopic splenectomy(LS) was performed on 19 patients(57.6%) and 14 underwent open splenectomy(OS).. Mean age was 28.89 years in LS group.and 36 years in OS group. Male female ratio was 4/15 in LS and 3/11 in OS. Mean operation time was 107.5 minutes in LS and 80.7 minutes in OS(p value <.001). Mean intraoperative blood loss  was significantly lower for LS vs OS (76.43 mL vs 133.57 mL; P = .003). There was no statistical significant difference in complications between the two groups. Also, There was no significant difference between LS and OS in terms of  remission rates.

Conclusion: Laparoscopic splenectomy is a safe and effective procedure in experienced hands. It is superior with regard to hospital stay, operative blood loss, postoperative pain and cosmesis as compared to Open Splenectomy.

Key words: Splenectony, Open,Laparascopic, Haematology.

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