Of 16 paMetaplasia eloid liver develops in 24% of 16 patients, some of whom die liver Kaempferol failure.39 post splenectomy thrombocytosis, which increased the risk of thrombosis Ht, splenoportal especially in the vein tract, 40 was observed in 20% of patients. After splenectomy an h Here rate of blast transformation was also observed in a study of 41, although this is not best from others Of the plant to. Splenectomy, patients with symptomatic splenomegaly MF highly refractory to the drug Sen treatment, severe symptoms are taken into account My constitutional transfusion on Chemistry reacts secondary to treatment and portal hypertension Re erh Ht portal flow.38 In the absence Verl EXTENSIONS the survival time has splenectomy were demonstrated, splenectomy sorgf risks validly against the m Resembled advantages of each patients are weighed to provide the method for the patients most likely to benefit from this limit.
Given the risks associated with the process, other factors such as patient comorbidities and life expectancy are also considered. In the series of the Mayo Clinic, were sustainable responses to symptoms My constitutional transfusion at mie Obtained AS-605240 portal hypertension and severe thrombocytopenia in 67%, 23%, 50% and 0% of the F Lle, respectively.38 From the above results it can be concluded that splenectomy is not r In the treatment of thrombocytopenia MF. Tee a heart thrombocytosis disadvantages would be a relative contraindication for splenectomy, given the high probability of uncontrollable thrombocytosis Lable provocative and thrombosis, especially in the vein splenoportal tract, through the additionally Tzlichen effect of local L Sion w During the surgical procedure.
40. Therefore, if platelets are above normal, and yet, splenectomy is decided, it is advisable to lower platelet hydroxyurea before surgery to 200 109 / l and to maintain this level in the postoperative period to reduce the risk thrombosis.42 Zus done to reduce useful if it once so that the peritoneal bleeding did not appear in the first 24 hours after surgery, prophylactic anticoagulation with heparin, low molecular weight set, and can be maintained for at least 4 to 6 weeks. Peritoneal haemorrhage, most t Dlichen complication of splenectomy in these patients usually occurs w During the first 24 hours after surgery. This complication can be related to the presence of thrombocytopenia, but also the existence of platelet function abnormalities in these patients.
For this reason I have Platelet counts immediately after removal of the spleen in all patients with a platelet transfusion 150 109 / L. I also have patients who develop peritoneal bleeding associated with surgical Ma took To stop the bleeding. As part of this Ma Commissioning the incidence of this complication has decreased dramatically in my heart, and no mortality t From this source is not yet observed. However, this personal Nlichen approach is supported by any randomized trial. Regarding the question of splenectomy or not before allo HSCT because the morbidity t T and mortality Splenectomy compared to the post-transplant h Dermatological recovery faster, 14 splenectomy before transplantation is controversial. Although the current to.