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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