83. Begutachtung nach totalem und partiellem Milzverlust

• DOI: 10.1007/bf01274400
• Publication Date: 2005-03-24T20:48:52Z
• Authors: H. G. Beger; R. Kunz
• Keywords: Risk; Disability Evaluation; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Splenectomy; Humans; Infections; Expert Testimony; Spleen; Follow-Up Studies

Expert opinion after splenectomy: In splenectomized patients after trauma the risk of infection is up to 60 times increased. The incidence of sepsis amounts to 1.05, mortality to 0.5%. Spleen-preserving surgery guarantees an immunocompetence only if at least 30% of the spleen is preserved. The professional performance of people having undergone splenectomy is restricted by 30% during the first year ("MdE" of 30%), later by 10% if additional complications occur.