Conklin reports a successful case of splenectomy for malarial
spleen, and in reviewing the subject he says that the records of
the past decade in operations for simple hypertrophy, including
malaria, show 20 recoveries and eight deaths. He also adds that
extirpation in cases of floating or displaced spleen was attended
with brilliant results. Zuccarelli is accredited with reporting
two cases of splenectomy for malarial spleen, both of which
recovered early. He gives a table of splenectomies performed in
Italy, in which there were nine cases of movable spleen, with two
deaths; eight cases of simple hypertrophy, with three deaths; 12
cases of malarial spleen, with three deaths; four cases of
leukemia and pseudoleukemia, with two deaths. In his experiments
on rabbits it was proved by Tizzoni, and in his experiments on
dogs, by Crede, that an individual could live without a spleen;
but these observations were only confirmatory of what had long
been known, for, in 1867, Pean successfully removed a spleen from
a woman of twenty. Tricomi reports eight cases in which he had
extirpated the spleen for various morbid conditions, with a
fortunate issue in all but one. In one case he ligated the
splenic artery.
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