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Khirurgii

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Year 2011 Vol. 19 No 1

GENERAL AND SPECIAL SURGERY

MASLYAKOV V.V., KIRICHUK V.F., CHUMANOV A.YU.

IMMUNE STATUS CHANGES IN THE NEAREST POSTOPERATIVE PERIOD IN PATIENTS OPERATED ON WITH THE SPLEEN INJURY

Objectives. To study the immune status of the patients after different surgeries on the injured spleen in the nearest postoperative period.
Methods. Investigation of the immune status changes occurring in the nearest postoperative period was carried out in 45 patients operated because of the spleen injury. In 15 of the total patients splenectomy was done; in 15 – splenectomy with autolientransplantation with transplanting spleen pieces of 1, 5 сm3 in size in the greater omentum tissue; in the rest 15 – organ-saving surgeries with laser technique application were carried out.
Results. It is established that patients after various operations on the injured spleen in the nearest postoperative period have changes in the immune status. The revealed changes are more marked in the patients after splenectomy and less marked in the patients after organ-saving surgeries and autolientransplantation.
Conclusions. Changes in the immune status are seen in patients after various surgeries on the injured spleen in the nearest postoperative period.

Keywords: spleen, immune status, postoperative period
p. 32 – 37 of the original issue
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