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Splenectomy: Does it help in Patients with Thalassemia Major

Abdul Salam Memon, Riaz Memon, Agha Taj Muhammad, Syed Asad Ali, Akmal Jamal Siddiqui.

OBJECTIVE: To determine the benefits of elective splenectomy in selected patients with thalassemia
STUDY DESIGN: Prospective descriptive study.
PLACE OF STUDY: Liaquat University Hospital Jamshoro.
DURATION OF STUDY: July 2014 to June 2015.
PATIENTS AND METHODS: 27 selected patients of Thalassemia major were evaluated after open
elective splenectomy via midline incision for the benefits achieved post operatively.
RESULTS: Out of 27 patients 19 (70.3%) were male and 08(29.6%) were female, age ranges from 5-10
years with a mean age of 7 years. Out of 27 patients, 25 patients (81.48%) had a uneventful recovery,
only 2 patients (7.4%) developed post-operative complications. No mortality was observed in this series.
Post-operative long term maintenance of adequate hemoglobin and improved quality of life was
observed in 26(96.29%) patients. Only 1(3.7%) patient who developed postoperative incisional hernia
was not satisfied with the procedure.
CONCLUSION: We conclude that splenectomy is a safe and beneficial procedure in selected patients of
thalassemia major.

Key words: splenectomy, Thalassemia major, benefits.

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