METHODS: Patient undergoing elective and emergency splenectomy in our surgical unit from September 2011 to July 2016 were included. The indications for operation, its diagnostic significance and the outcomes were analysed. RESULTS: From September 2011 to July 2016, totally 68 patients underwent splenectomy. Out of 68 patients, 13 patients had emergency splenectomy. There were 49 open operations, 4 laparoscopic converted to open operations and 15 had laparoscopic splenectomy. The splenectomy was performed as a therapeutic intervention in 46 patients(68%) and as a diagnostic modality in 22 patients(32%). The indications for therapeutic intervention were splenic abscess(2), splenic cyst(4), trauma(8), ITP(20) and anemia(12). The indications for diagnostic splenectomy were pyrexia of unknown origin in 7 patients and splenomegaly with anemia or pancytopenia in 15 patients. The objective of the operation was achieved in 43 patients(63%). The success rate for each indication: diagnosis(12 of 22 patients,55%), thrombocytopenia(12 of 20 patients,60%), anemia(5 of 12 patients,42%) and as a primary treatment(12 of 14 patients,86%). Postoperative morbidity within 30 days of surgery was seen in 9 patients(13%) and 2 patients(0.03%) died within 30 days of surgery.
CONCLUSION: Splenectomy is an effective procedure in the diagnosis of some diseases and as therapeutic means in selected patients as mainline treatment. However, splenectomy should be performed only after careful evaluation for the risks and the potential benefits to the patient. P169
UMBILICAL PILONIDAL SINUS – AN UNCOMMON SITE FOR A COMMON DIAGNOSIS Authors: Dr. Shona Rachel Mathuram, Dr. Abinaya Nadarajan, Dr. Sukria Nayak, Department : Surgery IV BACKGROUND: Pilonidal sinus is a common condition encountered but the occurrence at the umbilicus is rare. Due to the various causes for discharge from the umbilicus and its atypical presentation, umbilical pilonidal sinus is not well recognized. AIM: To study the clinical profile of patients with umbilical pilonidal sinus and to outline an approach based on the severity of the condition.
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7th Annual Research Day