What incision is used for a splenectomy?

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. This incision yields excellent exposure (see the image below).

How do you open 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 structure must be preserved in splenectomy?

Surgically removed spleen of a child with thalassemia. It is about 15 times larger than normal. A splenectomy is the surgical procedure that partially or completely removes the spleen. The spleen is an important organ in regard to immunological function due to its ability to efficiently destroy encapsulated bacteria.

How do you perform Splenorrhaphy?

The technique of splenorrhaphy was simple suture (usually chromic) with or without the addition of topical hemostatic agents in 200 patients (83.3%), topical agents alone in 12 (5%), unknown type of repair in 12 (5%), compression, cautery, or nonbleeding injury in 9 (3.8%), and partial or hemisplenectomy in 7 (2.9%).

Is splenectomy a disability?

38 C.F.R. § 4.7. Under Diagnostic Code 7706, a splenectomy warrants a 20 percent disability rating. This diagnostic code also provides the instruction to rate complications such as systemic infections with encapsulated bacteria separately.

Does a splenectomy affect life expectancy?

Although the series of patients is small, it seems that splenectomy did not have an adverse effect on life expectancy. The haematological status and the quality of life improved after splenectomy in 17 of 19 patients.

Is a splenectomy major surgery?

Removing your spleen is a major surgery and leaves you with a compromised immune system. For these reasons, it’s only performed when truly necessary. The benefits of a splenectomy are that it can resolve several health issues such as blood diseases, cancer, and infection that could not be treated any other way.

What are the long term effects of a splenectomy?

As a result, splenectomy leads to a life-long increased risk of life-threatening septicemia or meningitis (OPSI), with a high mortality rate (>50%). We identified 4 cases of S pneumoniae infection; 2 occurred more than 10 years after splenectomy.

Can you drink alcohol if your spleen is removed?

Do not drive or drink alcohol for 24 hours after your surgery.

Do you lose weight after a splenectomy?

Because of its location right next to the stomach, an enlarged spleen can press on the stomach. This can make someone feel not hungry, or they may get full after just a small amount of food. This can lead to weight loss.

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.

How to do an open splenectomy in the abdomen?

Open Splenectomy 1 Incision and entry into abdomen. The incision depends on the size of the spleen, the reason for splenectomy, and the preference of the surgeon. 2 Mobilization and removal of spleen. 3 Completion and closure.

What’s the name of the surgery to remove the spleen?

Removing part of the spleen is called a partial splenectomy. Removing all of the spleen is called a total splenectomy. Cleveland Clinic is a non-profit academic medical center.

What kind of scissors are used for open splenectomy?

This may be accomplished with blunt dissection, an electrocautery, or, in conditions where the ligaments are thickened, Metzenbaum scissors. After the ligamentous attachments are transected, the gastric vessels that run from the spleen to the greater curvature of the stomach are ligated and divided.

How is a nasogastric tube used in a splenectomy?

A nasogastric (NG) tube should be placed for optimal gastric decompression, which will be imperative for visualization of the spleen. ■ After endotracheal intubation and standard prepping and draping of the patient, a midline laparotomy incision is used to enter the peritoneal cavity ( FIG 5 ).