Maysoon M Jamaledin, MD1, Awad O Mohamed, MD1, Hamad Al Zaabi, MD1, Amira Babiker, MD1, Brian Gill, MD2, Amgad Elsharif, MD2, Abdelrahman A Nimeri, MD3. 1ACGME-I accredited Abu Dhabi Integrated General Surgery Residency, 2Tawam Hospital, 3Sheikh Khalifa Medical City
Introduction: Laparoscopic splenectomy for hematological conditions is the standard method for splenectomy. One of the potential rare complications following laparoscopic splenectomy is porto-mesenteric thrombosis. Our aim is to compare the outcomes of laparoscopic splenectomy for hematological conditions in two public hospitals in the emirate of Abu Dhabi.
Methods: We conducted a retrospective chart review for all splenectomy cases from January 2009 to March 2015 at two teaching public hospitals in Emirate of Abu Dhabi (Tawam hospital & Sheikh Khalifa Medical City (SKMC). The primary outcome is the development of porto-mesenteric thrombosis postoperatively and secondary outcomes included duration of surgery, hospital stay and other postoperative complications. We excluded all patients younger than 15 years of age or patients after trauma.
Results: During study period, 50 splenectomies were performed (21 at Tawam hospital & 29 at SKMC). After excluding children and trauma patients, 36 patients met the inclusion criteria (18 at each site). Mean age (mid 30s), gender (50% females), BMI (25.5 kg/m2), and splenomegaly (50%) was equal in both groups. Obesity (BMI >30 kg/m2) (30% versus 22%), laparoscopic approach (88% versus 83%) were more common at SKMC compared to Tawam. In addition, more patients received LMWH at SKMC (72% versus 55%) for a longer duration (10 versus 2.9 days). PMT was less common at SKMC (5.5% versus 22%).
Conclusion: PMT was less common at SKMC despite higher prevalence of obesity possibly due to more liberal use of LMWH for a longer duration.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77450
Program Number: P703
Presentation Session: Poster (Non CME)
Presentation Type: Poster
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