Aybala YILDIZ
(Yenimahalle Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Ankara, Türkiye)
Alp YILDIZ
(Yenimahalle Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Ankara, Türkiye)
Yıl: 2020Cilt: 22Sayı: 2ISSN: 2148-9645 / 2148-9645Sayfa Aralığı: 159 - 162İngilizce

54 0
DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?
Objective: Although many complications may occurafter splenectomy, post-splenectomy infection is one ofthe most frightening complications. Many prophylaxismethods have been used for this condition with very highrates of mortality and morbidity. In this study, we aimedto examine post-splenectomy infectious complications,in the cases in which all the measures were taken.Material and Methods: Thirty-two patients whounderwent emergency splenectomy were included in thestudy. Patients were given a sick leave of 20 days onisolated spleen trauma and at least 20 days formultitrauma patients. It was observed that some of thepatients had started to physically heavy work due tosocioeconomic reasons despite the sick leave report. Acomparison was performed between the patients whocompleted 20 days of rest (19 cases) (Group-1) and thepatients who started to work after resting time of lessthan 20 days (Group-2), in terms of the frequency ofpostoperative infection.Results: In Group-1, only 1 case had a simple infectionthat could be taken under control with a simpleantibiotic, while in Group 2, in 3 patients incision siteinfection, in 2 patients severe atypical pneumoniarequiring hospitalization and in 1 patient severe viralgastroenteritis requiring daily hospitalization wereobserved. Although there is an insufficient number ofpatients in the groups, there is a statistically significantdifference in terms of the frequency of infection betweenthe groups (p<0.05).Conclusion: Especially in the regions with low socioeconomicstatus, sick leaves could not be used properly.This study, showed that dehydration and malnutrition,which may be secondary to heavy work, contribute to thedevelopment of infection by suppressing the immunesystem, in addition to the defect caused by major surgicalintervention and splenectomy in the immune system,resulting in the high frequency of infection.
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