The spleen and spleen surgery in the elderly

The spleen is a very important organ with many essential functions, not only in the defense of the organism, but also in its metabolic, immunological and haematological systems. The most common manifestations of the splenic disturbances include splenomegaly and a decrease in the number of blood elem...

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Autor: Andy Petroianu
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:portugués
OAI Identifier:oai:repositorio.ufmg.br:1843/38434
Acceso en línea:http://hdl.handle.net/1843/38434
Access Level:acceso abierto
Palabra clave:BAÇO
CIRURGIA
CIRURGIA CONSERVADORA DO BAÇO
ESPLENECTOMIA
IDOSO
Spleen
Splenectomy
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oai_identifier_str oai:repositorio.ufmg.br:1843/38434
network_acronym_str BR
network_name_str Brasil
repository_id_str
spelling The spleen and spleen surgery in the elderlyBAÇOCIRURGIACIRURGIA CONSERVADORA DO BAÇOESPLENECTOMIAIDOSOSpleenSplenectomyThe spleen is a very important organ with many essential functions, not only in the defense of the organism, but also in its metabolic, immunological and haematological systems. The most common manifestations of the splenic disturbances include splenomegaly and a decrease in the number of blood elements. After the removal of the spleen, 2% of adults present severe sepsis, while more than 10% of the elderly are at risk of death due to septic conditions. Most splenic diseases can be treated conservatively. Operative procedures should be considered in special conditions, when all conservative options have been unsuccessfully depleted. Even in the presence of a severe trauma to the spleen or advanced haematological diseases, the best approach is a non-operative procedure. When the operation is unavoidable, partial and subtotal splenectomies or implants of autogenous splenic tissue onto the greater omentum should be performed. At least 25% of a normal spleen should be left with drainage to the portal system to preserve the complete efficacy of all splenic functions. The technological advances and the progressive development of new surgical devices are responsible for laparoscopy with or without robotic assistance. These surgical approaches lead to less pain, faster postoperative recovery and better cosmetic results, without decreasing the therapeutic efficacy. The conservative splenic approach, whether clinical or surgical, is the best way to prevent post-splenectomy infection, by preserving the spleen’s role in immunity.Universidade Federal de Minas GeraisBrasilMED - DEPARTAMENTO DE CIRURGIAUFMG2021-10-19T19:24:08Z2021-10-19T19:24:08Z2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdf24093548http://hdl.handle.net/1843/384340000-0002-8659-6866porInt. j. hematol resinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGAndy Petroianu2021-10-19T19:24:09Zoai:repositorio.ufmg.br:1843/38434Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2021-10-19T19:24:09Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv The spleen and spleen surgery in the elderly
title The spleen and spleen surgery in the elderly
spellingShingle The spleen and spleen surgery in the elderly
Andy Petroianu
BAÇO
CIRURGIA
CIRURGIA CONSERVADORA DO BAÇO
ESPLENECTOMIA
IDOSO
Spleen
Splenectomy
title_short The spleen and spleen surgery in the elderly
title_full The spleen and spleen surgery in the elderly
title_fullStr The spleen and spleen surgery in the elderly
title_full_unstemmed The spleen and spleen surgery in the elderly
title_sort The spleen and spleen surgery in the elderly
dc.creator.none.fl_str_mv Andy Petroianu
author Andy Petroianu
author_facet Andy Petroianu
author_role author
dc.subject.por.fl_str_mv BAÇO
CIRURGIA
CIRURGIA CONSERVADORA DO BAÇO
ESPLENECTOMIA
IDOSO
Spleen
Splenectomy
topic BAÇO
CIRURGIA
CIRURGIA CONSERVADORA DO BAÇO
ESPLENECTOMIA
IDOSO
Spleen
Splenectomy
description The spleen is a very important organ with many essential functions, not only in the defense of the organism, but also in its metabolic, immunological and haematological systems. The most common manifestations of the splenic disturbances include splenomegaly and a decrease in the number of blood elements. After the removal of the spleen, 2% of adults present severe sepsis, while more than 10% of the elderly are at risk of death due to septic conditions. Most splenic diseases can be treated conservatively. Operative procedures should be considered in special conditions, when all conservative options have been unsuccessfully depleted. Even in the presence of a severe trauma to the spleen or advanced haematological diseases, the best approach is a non-operative procedure. When the operation is unavoidable, partial and subtotal splenectomies or implants of autogenous splenic tissue onto the greater omentum should be performed. At least 25% of a normal spleen should be left with drainage to the portal system to preserve the complete efficacy of all splenic functions. The technological advances and the progressive development of new surgical devices are responsible for laparoscopy with or without robotic assistance. These surgical approaches lead to less pain, faster postoperative recovery and better cosmetic results, without decreasing the therapeutic efficacy. The conservative splenic approach, whether clinical or surgical, is the best way to prevent post-splenectomy infection, by preserving the spleen’s role in immunity.
publishDate 2018
dc.date.none.fl_str_mv 2018
2021-10-19T19:24:08Z
2021-10-19T19:24:08Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv 24093548
http://hdl.handle.net/1843/38434
0000-0002-8659-6866
identifier_str_mv 24093548
0000-0002-8659-6866
url http://hdl.handle.net/1843/38434
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Int. j. hematol res
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
MED - DEPARTAMENTO DE CIRURGIA
UFMG
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
MED - DEPARTAMENTO DE CIRURGIA
UFMG
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
_version_ 1853663160456708096
score 15,301603

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