Werlhof’s Disease: Surgical Therapy

Splenectomy (splenectomy) is indicated in the following situations (according to the American Society of Hematology):

  • Chronic thrombocytopenia with <10,000/μl – after six weeks of initial treatment (adults).
  • Chronic thrombocytopenia with < 30,000/μl – after three months of initial treatment (adults).
  • Children should wait up to one year before indication for splenectomy

Recurrence may also occur after splenectomy, which may be worthy of therapy.