Abdominal surgery in Hodgkin's disease can be of use for diagnostic, therapeutic or prophylactic purposes. In diagnosis, it can reveal the true extent of the disease so that a program of treatment can be determined. As regards treatment, removal of the spleen destroys the main focus and perhaps the cause of the subdiaphragmatic disease. It can also remove the effects of a state of hypersplenism, and the field of radiotherapy and its harmful effects can be estimated. From the point of view of prophylaxis, ovarian function can be protected from the effects of radiotherapy by means of ovopexy and, in exceptional cases, splenectomy can retard or prevent subdiaphragmatic growth of the disease. The authors have had little experience of this plan of surgical treatment in Hodgkin's disease, this review comprising only 5 cases over a short period of time. However, together with their hematologist colleagues, they established a surgical approach toward operation, even in the so called early stages of the disease. Operations were done on one stage 1, three stage 3, and one stage 4 in very poor condition. The results cannot be evaluated as the interval following operation is too short. It is interesting to note that in 3 cases with marked hypersplenism, leucopenia and thrombocytopenia, it was possible to recommence or to start chemotherapy or radiotherapy following normalisation of the blood picture after operation.
|Translated title of the contribution||Abdominal surgery in Hodgkin's disease|
|Number of pages||4|
|Publication status||Published - 1973|
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