BACKGROUND: The small but finite risk of @entity295 is generally regarded as a firm indication for splenic preservation after @entity130 , especially in the young. But splenectomy may be preferable in @entity1 who sustain @entity130 during vascular operations because of the potential for continued @entity548 associated with anticoagulation. The purpose of this study was to determine the perioperative morbidity of incidental splenectomy among @entity1 undergoing abdominal vascular operations. STUDY DESIGN: We studied 17 @entity1 who underwent incidental splenectomy at the time of abdominal vascular operations. Complete data collected on each subject included preoperative and postoperative blood counts, operative indications and details, transfusion requirements, length of hospital stay, and outcomes. Using age- and gender-matched case controls undergoing identical vascular operations from the same period, we evaluated the complication rate and outcomes of @entity1 who underwent splenectomy for iatrogenic injuries of the spleen, versus those who did not sustain @entity130 . RESULTS: The estimated prevalence of iatrogenic @entity130 during the study period was 0.5%. Mean operative time, estimated @entity190 , and duration of mechanical ventilation tended to be greater in the splenectomy @entity1 , but the differences did not achieve statistical significance. Splenorrhaphy was attempted in seven @entity1 , but continued @entity548 mandated spleen removal in all cases. Splenectomy @entity1 had a higher transfusion requirement (p = 0.03) and a longer mean length of stay (p = 0.03) than controls. Compared with controls, there was a higher prevalence of infectious complications in the splenectomy @entity1 (p = 0.015), but there was no difference in the prevalence of @entity1031 complications between groups. Two of the splenectomy @entity1 died in the postoperative period from @entity881 , and one died of a missed @entity130 . CONCLUSIONS: These data suggest that incidental splenectomy during abdominal vascular operations is associated with @entity260 and prolonged hospitalization.

Incidental XXXX during abdominal vascular surgery: a case-controlled analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['postsplenectomy sepsis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity260 :: ('MESH:D011183', 'Disease') :: ['increased postoperative infectious complications'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multisystem organ failure'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'iatrogenic injury', 'splenic injuries']
@entity130 :: (MESH:D014947,Disease) :: ['splenic injury']
