SPLENECTOMY

Splenectomy

Indications

In cases of:

•   Traumatic splenic rupture

•   Hematologic splenic disorders (ITP, Hereditary spherocytosis)

•   Removal of deceased spleen.

Position

Supine.

Anesthesia

General.

Procedure

Incision of midline for trauma and left subcostal for elective splenectomy:

1.  Incise posterior layer of spleno-renal ligament and deliver spleen to wound.

2.  Divide splenic artery and vein between double ligatures protecting the tail of the pancreas.

3.  Divide short gastric arteries between ligatures taking care not to injure the stomach wall.

4.  Remove spleen.

5.  In hematological diseases, look for accessory spleens.

6.  Close abdomen in layers without drainage.

Instruments

•   General set, 1

•   Gastrointestinal set, 1

•   Deep set, 1.

Any questions be sent to drmmkapur@gmail.com

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