Rushil Jain, Vimal Jain, Shalit Jolly. Mata Chanan Devi Hospital New Delhi
Objective Of The Study: To assess the feasibility of laparoscopic splenectomy in cases of large pyogenic abscess (although the incidence of pyogenic abscess across the globe is very less) in a tertiary care referral hospital of new delhi india.
Methods And Procedure: Five patients during the duration of two years (2014-2016) of fever of unknown origin and abdominal pain reporting to hospital undergone computed tomography and detected splenic abscess were included in the study.
Patients were subjected to pre anaesthetic check up and were planned for laparoscopic splenectomy, though consented for open splenectomy also.
This is a short case series because incidence of pyogenic abscess is less than one percent across the globe.
All patients undergone laparoscopic splenectomy by standard accepted technique.
Results: All five patients sucessfully underwent laparoscopic splenectomy out of which three were females with age ranging from 16-34 years where as male were two with age between 18-36 . Average time in operative procedure was 2.4 hours with average intraoperative blood loss of 130ml. All patients recovered well in post operative period with no mortality. All patients were vaccinated as per the guildlines and schedule. Two patients had platelet counts of ten lakhs for which prophylactic aspirin was started.
Conclusion: Laparoscopic splenectomy is a safe and acceptable procedure in large splenic abscess with relatively little long learning curve in such cases.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94409
Program Number: P606
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster