AUTO TRANSPLANTE ESPLENICO EN PACIENTES CON ESPLENECTOMIA POST-TRAUMATICA HOSPITAL CENTRAL "ANTONIO MARIA PINEDA" BARQUISIMETO JUNIO 1997-JUNIO 1999.

Se realiz\uf3 un estudio prospectivo descriptivo en el Hospital Universitario Dr. "Antonio "Mar\ueda Pineda", en el lapso comprendido junio 97 -Junio 99, con el prop\uf3sito de demostrar la viabilidad del tejido espl\ue9nico autotransplantado en paciente con lesi\uf3n espl\ue9nica severa. Catorce pacientes que ingresaron a la emergencia del Hospital Universitario Dr. "Antonio Mar\ueda Pineda", presentaron trauma -espl\ue9nico grado IV y V se les practic\uf3 esplenectom\ueda, m\ue1s esplenosis, con edades comprendidas entre 14 y 33 a\uf1os con una medida de 22,2 a\uf1os de los cuales 12 fueron hombres y s\uf3lo 2 mujeres. De estos catorce (14) pacientes, que quedaron para la demostraci\uf3n gammagr\ue1fica del autotransplante espl\ue9nico con Tc 99 + coloides; a 12 (85,7%) se les pudo demostrar la viabilidad del injerto espl\ue9nico; concluyendo que debe realizarse esplenosis y su demostraci\uf3n gammagrafica a los pacientes que se les realice esplenectom\ueda post - traum\ue1tica. SUMMARY We realized a prospective descriptive study in the Antonio Mar\ueda Pineda Hospital from June 97 through June 99 with the purpose of demostrate the viability of splenic tissue self - transplantion in patients with severe splenic lesions. 14 patients that admitted to emergency of this Hospital presented splenic traumatic grade IV end V, whom practiced splenectomy plus splenosis, whit ages between 16 and 33 years with an average age of 22,2 years, which 12 men and only 2 women. Of these 14 patients that stayed for gammagraphic demostration of splenic self - transplantion with Tc 99 plus coloid, only 12 (85,7%) whom could be demostration to viability of graft, and we concluded that have to realize splenosis and its gammagraphic demostration to all pat\uedents that realized post - traumat\uedc splenectomy