Splenectomy involves removing the spleen. The spleen filters the blood and removes the Old blood cells and bacteria. In some cases it is necessary to remove everything the spleen, but other times only part of the spleen hemiesplenectomy) or the spleen (splenorrhaphy) can be repaired.
Who needs a splenectomy?
Different diseases of the spleen that may require splenectomy. The Spleen diseases may be present at birth or may occur later. Some rare conditions present at birth include the asplenia (the spleen does not form) or polysplenia (when there is more than one spleen). He spleen may be in an unusual place inside the abdomen (heterotaxia or ectopia splenic). After birth, the spleen may be affected by other diseases, infections, cysts, tumors or can be injured during an accident. More commonly, the spleen may be affected in patients with certain anemias, Immune system
diseases and certain types of cancer.
How are spleen problems diagnosed and treated?
Spleen problems are diagnosed during the physical exam, with the help of blood and x-ray tests It is common for the patient to have a bellyache and Some patientren complain of pain in the left arm. They can also have levels abnormal blood tests Treatment may include antibiotics, steroids and sometimes surgery. If the patient had an accident and injured his spleen, he might need an operation. This It will depend on the degree of spleen injury. Most often the spleen lesions they heal alone, without the need to operate. While your injury heals, you probably have to stay in the hospital for a while and once you go home, you will have restrictions for several weeks.
How is the decision made to operate?
This decision is based on how affected the spleen is due to the disease or accident. It is always taken into account that the spleen is very valuable, and plays a role important in the body's immune functions. You also have to take into account the age of the patient In case of accidents, the spleen may bleed. Most of the time the bleeding stops on its own, but if the bleeding does not stop, it is necessary to operate.
What does the surgery consist of?
The surgery can be done by laparoscopy or open. In laparascopy, a small camera and other instruments are introduced through small wounds in the abdomen, to remove the spleen. If the spleen is very large or the procedure is emergency, an open operation may be necessary. After surgery, the patient will receive fluids and pain medication through the serum. Some kids They will have a nose tube to empty the stomach (nasogastric tube). If the spleen was completely removed, it will be necessary for your patient to receive certain special vaccines, or need to take antibiotics
every day, to try to prevent infections in the future.
When will the patient be discharged?
Once you can eat without problems, let the pain be controlled only with medications by mouth and the patient does not have a fever or signs of infection.
What care is needed at home?
Care of insertion: Your surgeon and nurse will teach you how to take care of the wounds Be sure to ask the surgeon or nurse about instructions specific, before leaving the hospital. Do not let the patient participate in rough physical activity. Bath: Your patient may bathe 48-72 hours after the procedure, but should not put the wounds under water, in a tub or swim for a week. Medication: You will be given a prescription for pain medications at the time you are given high. Activity: The restrictions will depend on how the procedure was done.
When should I call the surgeon’s office?
You should notify the surgeon, if you notice any signs of bleeding: bleeding of the spleen usually produces sudden abdominal pain, with difficulty breathing, fainting and an accelerated pulse.
1.If your patient has a temperature of 101 F or higher
2. If there is blood in the incision. It is normal for the wound to be slightly inflamed.
3. If there is any sign of infection, such as drainage, especially pus or reddish, or increased pain in the wound.
4. If your patient’s pain is not controlled with the medication prescribed.
5.If you have any other questions.