RT Journal Article SR Electronic T1 Splenunculectomy in thrombocytopenic purpura. JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 192 OP 194 DO 10.1136/adc.61.2.192 VO 61 IS 2 A1 M M Reid A1 P W Saunders A1 J D Fenwick A1 W Walker YR 1986 UL http://adc.bmj.com/content/61/2/192.abstract AB In six patients with thrombocytopenic purpura not cured by splenectomy platelets fell to less than 150 X 10(9)/l within six weeks of splenectomy. They 'failed to respond'. Two underwent splenunculectomy without improvement. Splenuculectomy offered little chance of improvement to published cases who failed to respond but may well be helpful after true relapse.