Preoperative preparation for a splenectomy procedure usually includes. The gastrosplenic ligament contains the short gastric vessels and must be divided to obtain access to the splenic vessels, whereas the splenophrenic and splenorenal ligaments are relatively avascular. The spleen is in the uppermost area of the left side of the abdomen, just under the diaphragm. Answer you will be given general anesthesia a few minutes before surgery so you are asleep and do not feel pain while the surgeon is working on you. Patients are usually given protective vaccinations about a month before surgery. It may be done for various indications, some of which are detailed in this article. Background and objectives patients undergoing synchronous open splenectomy and hepatectomy osh for concurrent hepatocellular carcinoma hcc and hypersplenism usually have major surgical trauma. The surgery can be performed by either the laparoscopic or open method. The spleen plays a role in immunity against bacterial infections.
Laparoscopic surgery is performed by making several small incisions in the abdomen using cameras and special tools to remove the spleen. Pdf laparoscopic and open splenectomy and hepatectomy. The splenectomy will be performed under general anesthesia. Open splenectomy is performed in the supine position. Pdf background and objectives the use of laparoscopy in the trauma setting is gaining momentum, with more therapeutic procedures being performed. It is done through a large incision cut through the abdomen above the spleen. Laparoscopic takedown of the short gastric vessels with conversion to an open 2 splenectomy and appendectomy. After laparoscopic splenectomy, most patients stay in the hospital overnight and can return to full physical activity in 23 weeks. Splenectomy is the procedure performed to remove the spleen. Splenectomy is rarely an emergency and can be scheduled electively at a time that is the most convenient for your family. During open splenectomy, the surgeon makes an incision in the middle of your abdomen and moves aside muscle and other tissue to reveal your spleen. The spleen is one of the most frequently injured intraperitoneal organs, and management of splenic injuries may require splenectomy or, rarely, splenorrhaphy.
Open splenectomy aftercare instructions what you need. Correction of abnormalities of blood clotting and the number of red blood cells. Answer open splenectomy requires a larger surgical cut than the laparoscopic method. A splenectomy is an operation to remove the spleen. He or she then removes the spleen and closes the incision. You will have this procedure done before your condition gets worse or when symptoms appear. After open splenectomy, most patients stay in the hospital for 3 to 4 days and can return to full physical activity in 4 to 6 weeks. Splenectomy procedure, recovery, blood, removal, pain. This means your child will not be awake for the surgery. Open splenectomy can help stop the destruction of blood cells and restore normal blood flow. The national center for biomedical ontology was founded as one of the national centers for biomedical computing, supported by the nhgri, the.
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