What incision is used for a splenectomy?
In most patients undergoing splenectomy for a hematologic disorder, a left subcostal incision is employed, beginning to the right of the midline and proceeding obliquely to the left approximately two fingerbreadths below the costal margin.
What are the indications for splenectomy?
Indications for splenectomy include hypersplenism, incidental to other abdominal procedures, trauma, Hodgkin’s staging, and other splenic disease. Hodgkin’s staging has become the most frequent indication for splenectomy during the past five years, whereas splenectomy for hypersplenism has decreased.
Can spleen be sutured?
It is concluded that splenic lacerations are usually amenable to suture repair, and splenorrhaphy, not splenectomy, is the treatment of choice for splenic injury.
What is the most common complication of splenectomy?
Infections, particularly pulmonary and abdominal sepsis, constitute the majority of the complications. The mortality rate from postoperative sepsis is substantial. Atelectasis, pancreatitis/fistula, pulmonary embolism and bleeding at the operative site are also relatively common occurrences following splenic removal.
What instruments are used in a splenectomy?
Equipment. A standard laparoscopic tray is used for a laparoscopic splenectomy, including laparoscopic scissors and atraumatic graspers. Telescopes, including a 30° or 45° 5- or 10-mm laparoscope, are used, depending on the surgeon’s preference and need for visualization.
What is the medical term for suture of the spleen?
[ splĭ-nôr′ə-fē ] n. Suture of a ruptured spleen.
Why do platelets increase after splenectomy?
The early, highly significant thrombocytosis, following both splenectomy and general surgery, is caused by increased production of platelets due to the surgical trauma. This is caused by a direct action on bone marrow MK by transforming 2N-8N MK into higher ploidy classes.
Why a patient would need a splenectomy after a diagnosis of ITP?
Why remove the spleen? In people with ITP the immune system treats platelets as foreign and destroys them. The spleen is responsible for removing these damaged platelets and therefore removal of the spleen can help to keep more platelets circulating in the body.
How do you perform a splenectomy?
Open splenectomy requires a larger surgical cut than the laparoscopic method. The surgeon makes an incision across the middle or left side of your abdomen underneath the rib cage. After locating the spleen, the surgeon disconnects it from the pancreas and the body’s blood supply, and then removes it.
What is removed in a splenectomy?
Parts of the immune system Splenectomy is a surgical procedure to remove your spleen. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material, such as old or damaged blood cells, from your blood.
What vaccines are needed after splenectomy?
Pneumococcal, meningococcal, and Haemophilus influenzae (Hib) vaccinations are indicated for patients after splenectomy.
What is the CPT code for splenectomy?
38100
CPT code 38100, 38101 & +38102 are used for splenectomy procedures. Splenectomy: Removal of the spleen. Splenoportography: Introduction of radiopaque material into the spleen to obtain radiographic visualization of the splenic and main portal veins of the portal circulation.
What are Prolene sutures used for?
The suture is pigment blue to enhance visibility. PROLENE Sutures are indicated for use in general soft tissue approximating and/or ligation, including use in cardiovascular, ophthalmic procedures, and neurological procedures.
Indications for splenectomy INDICATIONS FOR SPLENECTOMY (NON-TRAUMA)Size of spleen ~12 x 7 x 3 to 4 cm in thickness. The average weight 150 g, (80 to 300 g).Spleen: major hematopoietic functions until 5th month of gestation ⇒ bone marrow assumesfunction.
What is a splenectomy?
Splenectomy, a procedure to remove the entire spleen, is performed for a number of indications. It is important to understand the anatomy and physiology of the spleen prior to performing a splenectomy. Splenectomy can be performed via open, laparoscopic, or robotic techniques depending on the patient and diagnosis.[1] NCBI
What are the contraindications for a splenectomy?
There are no absolute contraindications in performing a splenectomy. However, there are special considerations that must be taken into account prior to performing a splenectomy, especially in patients with splenomegaly or portal vein hypertension.