The spleen has many blood vessels, so the surgeon finds the blood vessels leading to and from the spleen and places clips on them to permanently stop blood from flowing through to the spleen. A splenectomy, the surgery to remove the spleen, may be indicated in the following cases: You should obtain a thorough evaluation by a surgeon qualified in laparoscopic spleen removal along with consultation with your other physicians to find out if this technique is appropriate for you. Spontaneous rupture, when the spleen bursts unexpectedly often for no clear reason, is very rare but also results in the need for The spleen is a blood filled organ located in the upper left abdominal cavity. A laparoscope (a tiny telescope connected to a video camera) is put through one of the cannulas which projects a video picture of the internal organs and spleen on a television monitor. Needing surgery to remove the spleen may come as a surprise--it is often the result of trauma such as an injury in a car accident. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgment.
Once the spleen has been removed and the surgeon has found no signs of continued bleeding, the instruments are removed and the incisions are closed. Your doctor will probably recommend that you receive the vaccine to prevent pneumonia and may suggest additional vaccines, such as the meningitis vaccine. Because of the proximity to other organs and structures, there is a slight risk that they can be damaged during the procedure.

The average patient is able to go home from the hospital 48 to 72 hours after surgery if the splenectomy was performed laparoscopically. Though the experience of the surgeon is the biggest factor in a successful outcome, the size of the spleen is the most important determinant in deciding whether the spleen can be removed laparoscopically. Due to the smaller incision size, the laparoscopic approach minimizes both the pain of recovery and the risk of Sometimes it is important to get a specimen of bone marrow. The spleen is tucked behind the stomach, below the diaphragm muscle and resting near the pancreas and intestine. The incisions may be closed with surgical glue, steri-strips (small strips of adhesive bandage), or less frequently, staples or When the size of the spleen is extremely large, it is difficult to perform the laparoscopic technique. The tube is usually removed a day or two after surgery. Regardless of the reason for your surgery, when you wake up from your surgery, you will feel some pain on your left side in the area of your stomach. In the majority of cases where a splenectomy is performed emergently, or to save the patient’s life, the spleen has been damaged by trauma. In some cases, the procedure may start as a laparoscopic procedure using the multiple small incisions but the surgeon may opt to continue the surgery with an open incision if the spleen is discovered to be significantly enlarged. Scott Sundick, MD, is a board-certified vascular and endovascular surgeon. With this type of surgery, you may be able to leave the hospital the same day and recover fully in two weeks. SeveralIn a small number of patients the laparoscopic method cannot be performed. You should obtain a thorough evaluation by a surgeon qualified in laparoscopic spleen removal along with consultation with your other physicians to find out if this technique is appropriate for you.You will be placed under general anesthesia and be completely asleep. A laparoscope (a tiny telescope connected to a video camera) is put through one of the cannulas which projects a video picture of the internal organs and spleen on a television monitor. The spleen is highly vascular, with many blood vessels and a large supply of blood, and it bleeds easily. If the spleen has been severely traumatized, the

The bone marrow is where red cells and other components of the blood are made and can be very helpful to understand the source of the problems. It is a storage organ for red blood cells and contains many specialized white blood cells called “macrophages” (disease fighting cells) which act to filter blood. This is done so no pieces of the spleen are able to break off and remain in the abdominal cavity, where they could cause serious infection. A splenectomy, or spleen removal surgery, may be unavoidable in emergency circumstances. She has experience in primary care and hospital medicine.

This tube prevents the build up of stomach acid, minimizing nausea and vomiting after your procedure. The laparoscopic procedure is the most common of the two splenectomy procedures and is typically used whenever possible by surgeons. The decision to convert to an open procedure is strictly based on patient safety.After surgery you will be given intravenous fluids (IV’s) in your arm. You should obtain a thorough evaluation by a surgeon qualified in laparoscopic spleen removal along with consultation with your other physicians to find out if this technique is appropriate for you. The spleen is then cut away from the other structures of the body. The spleen is the largest lymphoid organ and has a crucial function in the immune system. Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. The spleen helps the body identify and kill bacteria. You will be given pain medication to relieve the discomfort you may experience from the small incisions.

Canine Spleen Removal 8 year old dog.

The pancreas can become inflamed (pancreatitis) or leak fluid after surgery. This approach is especially useful in cases of splenomegaly, or enlargement of the spleen, which may make the spleen too large to be removed through the small incisions used in the minimally invasive procedure.

You will need to let your nurse and surgeon know what your pain medication needs are since everyone has a different pain threshold.Typically, once you have gone home, you may do the following, but each situation differs and “at home” activities should be discussed with your doctor.Complications following laparoscopic splenectomy are infrequent, but you should consult your doctor regarding possible complications based on your specific case. He currently practices in Westfield, New Jersey.

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