{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:51:19Z","timestamp":1768283479953,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100009827","name":"Alexandria University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009827","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Splenic autotransplantation is a promising method to recover splenic functions after traumatic splenectomy. However, it is associated with several postoperative complications, such as subphrenic abscess, intestinal obstruction and torsion of the omentum with necrosis of the implanted splenic tissues. Therefore, the aim of this study is to evaluate a new splenic autotransplantation technique that could overcome those complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A single segment of the spleen was implanted inside a pedunculated omental pouch and fixed in the native site of the spleen in 15 patients who underwent splenectomy for abdominal trauma. This group of patients was compared with the next 17 patients who underwent splenectomy alone. Additionally, splenic functions of the patient and control groups were evaluated 3\u00a0months using peripheral blood smear [the presence of Howell\u2013Jolly (HJ) bodies] and abdominal contrast\u2010enhanced computed tomography (CECT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients who underwent splenic autotransplantation showed evidence of a well\u2010vascularised splenic tissue on CECT and normal peripheral blood smear without HJ bodies 3\u00a0months postoperatively. No postoperative complications related to splenic autotransplantation were observed, and platelet count after 3\u00a0months was significantly higher in patients who underwent splenectomy only (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Splenic autotransplantation using the aforementioned technique could restore splenic functions with minimum postoperative complications related to the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17384","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T06:54:19Z","timestamp":1637909659000},"page":"466-470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Splenic auto\u2010transplantation after splenectomy for trauma: evaluation of a new technique"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-792X","authenticated-orcid":false,"given":"Amr","family":"Badawy","sequence":"first","affiliation":[{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer S.","family":"Bessa","sequence":"additional","affiliation":[{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"Hussein","sequence":"additional","affiliation":[{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Wael","sequence":"additional","affiliation":[{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Islam A.","family":"El\u2010Sayes","sequence":"additional","affiliation":[{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318150782c"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/08941939.2016.1268656"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/0100-6991e-20181850"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00299-z"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350611419867"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2009.090039"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780305"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000002058"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15383"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900487"},{"key":"e_1_2_8_12_1","first-page":"16","article-title":"Dalak ototransplat\u0131n\u0131n etkisini de\u011ferlendirme? 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