[Operation for postoperative re-hemorrhage after splenectomy with periesophagogastric devascularization for advanced schistosomiasis].

OBJECTIVE

To evaluate the efficacy of the operation in the treatment of postoperative re-hemorrhage after splenectomy with periesophagogastric devascularization for advanced schistosomiasis.

METHODS

Forty-three re-hemorrhage patients, who received varicose ligation combined with pericardial devascularization through left thoracic cavity with esophageal incision from October 2002 to October 2011, after splenectomy with periesophagogastric devascularization due to portal vein hypertension, were investigated retrospectively and followed up for 1 to 9 years.

RESULTS

Forty-three re-hemorrhage patients operated included 27 cases of selective operation and 16 cases of emergency operation. The mean follow-up time was 6.8 years. The hemostasis rate was 100%. One died after the operation because of engaging in heavy labor, two had melena and were completely relived with the conservative treatment, and all the rest had a good recovery.

CONCLUSION

The operation of varicose ligation combined with pericardial devascularization through left thoracic cavity with esophageal incision in the treatment of postoperative re-hemorrhage after splenectomy with periesophagogastric devascularization for advanced schistosomiasis has a satisfied efficacy.