Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura (ITP)

  • Muhammad Arham Medical Student, Rawalpindi Medical University, Rawalpindi
  • Jahangir Sarwar Khan Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Muhammad Umer Fayyaz Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Usman Qureshi Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Gohar Rasheed Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Usama Jalil Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Salman Shafique Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
  • Sarosh Afzal Faroqui Department of Surgery, Holy Family Hospital and Rawalpindi Medical University, Rawalpindi
Keywords: Laparoscopic splenectomy, Immune Thrombocytopenic Purpura, ITP, Operative time

Abstract

Background: To determine the operating time, blood loss, postoperative rise in platelet count, need of conversion to open surgery, postoperative hospital stay and postoperative complications in ITP patients undergoing laparoscopic splenectomy.
Methods: In this cross-sectional study patients diagnosed with ITP undergoing laparoscopic splenectomy were included. Patient characteristics regarding operating time, blood loss, postoperative hospital stay, conversion to open surgery, postoperative complications and postoperative rise in platelet count were analyzed..
Results: Out of 23 patients, 9 were males and 14 were females. The mean age of the patients was 31±7 years. There was 1 conversion to open surgery. The mean operating time was 90±22 mins and mean blood loss 131±55 ml. 21 out of 23 (91.3%) patients showed a positive response of rise in platelet count after surgery. There was no postoperative complication in any patient. The mean postoperative hospital stay was 3±1 days.
Conclusion: Laparoscopic splenectomy is associated with less operating time, postoperative hospital stay, blood loss, and postoperative complications. It produces an adequate postoperative rise in platelet count.

Published
2018-06-30
How to Cite
Arham, M., Khan, J. S., Fayyaz, M. U., Qureshi, U., Rasheed, G., Jalil, U., Shafique, S., & Faroqui, S. A. (2018). Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura (ITP). Journal of Rawalpindi Medical College, 22, 84-87. Retrieved from http://journalrmc.com/index.php/JRMC/article/view/868
Section
Articles