منابع مشابه
Laparoscopic versus open splenectomy for immune thrombocytopenic purpura.
BACKGROUND Laparoscopic splenectomy (LS) has been proposed as a substitute to open splenectomy (OS) in the treatment of immune thrombocytopenic purpura (ITP). The aim of this study was to compare two cohorts of patients with ITP who underwent OS or LS. PATIENTS AND METHODS From February 1990 to January 1997, 27 patients underwent OS and 22 LS. Perioperative characteristics, outcomes, and comp...
متن کاملIntrahepatic splenosis after splenectomy performed for idiopathic thrombocytopenic purpura.
The term splenosis describes autotransplantation or implantation of ectopic splenic tissue within the abdominal cavity or in any other unusual body compartment. In addition to the diagnostic dilemma it causes, splenosis may also lead to persistence or recurrence of hematologic dysfunctions by its preserved immune activity especially in cases of splenectomy due to hematologic indications. Herein...
متن کاملAdult idiopathic thrombocytopenic purpura without the option of splenectomy.
In this part of Malaysia, consent of splenectomy is virtually unobtainable, so we studied the outcome of ITP without this treatment option. Thirty-two adult patients were seen, but 7 defaulted before therapy evaluation. Of the remaining 25, 17 achieved a complete remission with prednisolone, but in only 8 was this prolonged. Twelve patients, who failed to respond to prednisolone or who required...
متن کاملLate recurrence of thrombotic thrombocytopenic purpura after splenectomy.
The second patient was investigated by his G.P. at the age of 34 in 1952. He had been married for 14 vears with no children. A phvsical examination was normal, as was his sexual function. No abnormalities had been found when his wife was investigated in 1946. In 1968 he was referred from his G.P. with a three-week history of diarrhoea. Faecal fats were 22 g/dy, and jejunal biopsy showed subtota...
متن کاملPlanned splenectomy in treatment of idiopathic thrombocytopenic purpura.
The results of a policy of treatment in idiopathic thrombocytopenic purpura based on previous observations on the natural history of the disease and its response to corticosteroids are described. The results of splenectomy were better when the history was less than 100 days. Three patterns of response to splenectomy were observed: complete remission, symptomatic remission, and relapse. The prog...
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ژورنال
عنوان ژورنال: BMJ
سال: 1936
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.1.3916.157