Partial splenectomy prevents splenic sequestration crises in XXXX .

@entity1 @entity3458
PURPOSE: Acute splenic sequestrations (SSs) are potentially fatal complications in @entity3458 ( @entity3458 ). Total splenectomies in young @entity1 may predispose them to a higher risk of overwhelming infections, whereas partial splenectomy may maintain immunocompetence. We present our series of partial splenectomies in @entity1 with multiple SS episodes. METHODS: We retrospectively reviewed the records of 6 @entity1 who underwent open partial splenectomies for SS. Data on their clinical courses were collected and analyzed. RESULTS: None of the 6 @entity1 had SS postprocedure, down from 2.1 +/- 1.0 (P = .003) sequestrations per year and 3.5 +/- 1.4 (P = .002) total sequestrations per @entity1 . The transfusion requirements were significantly reduced postoperatively (10.2 +/- 5.6 vs 2.0 +/- 3.1 per year; P = .002). There was no increase in the infection-related hospital admissions during the period of follow-up (1.5 +/- 1.8 vs 0.8 +/- 0.8 per year after partial splenectomy; P = .363). The upper pole was preserved in all cases with blood supply off the main splenic artery. CONCLUSIONS: Partial splenectomy decreases the risk of SS in @entity3458 and reduces the need for blood transfusions. Infection rates did not increase after the procedure during the follow-up period. Partial splenectomy should be considered for @entity1 who experience multiple acute SS crises or have long-term transfusion requirements.
