Levan Tsamalaidze1, John A Stauffer2, Tara Brigham3, Horacio J Asbun4. 1. Department of Surgery, Mayo Clinic, Jacksonville, FL, USA; Tbilisi State Medical University, Tbilisi, Georgia. 2. Department of Surgery, Mayo Clinic, Jacksonville, FL, USA. 3. Mayo Clinic Libraries, Mayo Clinic, Jacksonville, FL, USA. 4. Department of Surgery, Mayo Clinic, Jacksonville, FL, USA. Electronic address: asbun.horacio@mayo.edu.
Abstract
OBJECTIVES: No standard classification exists for post-splenectomy thrombosis of splenic, mesenteric, and portal vein (PST-SMPv). The goal of this study was to review our institution's experience with PST-SMPv and to perform a systematic literature review. METHODS: A retrospective review of all patients undergoing splenectomy from 1995-2016 at our institution was performed. Additionally, six databases and four grey literature websites were systematically searched. Splenectomy for pediatric patients or for trauma or portal hypertension related reasons were excluded. RESULTS: Between 1995 and 2016, 229 patients (113; 49.3% males) underwent splenectomy for spleen related diseases at our institution. From 1895 to 2016, 1645 unique literature citations were identified. Twenty citations met our inclusion criteria. Data on 1745 splenectomized patients was compiled; PST-SMPv occurred in 141 (8.1%). CONCLUSIONS: In our series, PST-SMPv developed in 6.6% of patients and the incidence of PST-SMPv after splenectomy in the literature ranges from 0.8 - 53.0%. A call for standardized reporting through a proposed classification is made.
OBJECTIVES: No standard classification exists for post-splenectomy thrombosis of splenic, mesenteric, and portal vein (PST-SMPv). The goal of this study was to review our institution's experience with PST-SMPv and to perform a systematic literature review. METHODS: A retrospective review of all patients undergoing splenectomy from 1995-2016 at our institution was performed. Additionally, six databases and four grey literature websites were systematically searched. Splenectomy for pediatric patients or for trauma or portal hypertension related reasons were excluded. RESULTS: Between 1995 and 2016, 229 patients (113; 49.3% males) underwent splenectomy for spleen related diseases at our institution. From 1895 to 2016, 1645 unique literature citations were identified. Twenty citations met our inclusion criteria. Data on 1745 splenectomized patients was compiled; PST-SMPv occurred in 141 (8.1%). CONCLUSIONS: In our series, PST-SMPv developed in 6.6% of patients and the incidence of PST-SMPv after splenectomy in the literature ranges from 0.8 - 53.0%. A call for standardized reporting through a proposed classification is made.
Authors: Melissa L Rethlefsen; Shona Kirtley; Siw Waffenschmidt; Ana Patricia Ayala; David Moher; Matthew J Page; Jonathan B Koffel Journal: Syst Rev Date: 2021-01-26
Authors: Melissa L Rethlefsen; Shona Kirtley; Siw Waffenschmidt; Ana Patricia Ayala; David Moher; Matthew J Page; Jonathan B Koffel Journal: J Med Libr Assoc Date: 2021-04-01