• Background : Laparoscopic splenectomy is the first surgical choice for benign splenic disease. (sages.org)
  • Some studies have reported single-site laparoscopic splenectomy, but this technique poses many technical difficulties such as instrument clashing, lack of triangulation, odd angles, and lack of space. (sages.org)
  • Conclusions : Robotic single-access splenectomy has some technical advantages over previous robotic or laparoscopic single-access approaches. (sages.org)
  • Splenectomy is often carried out as a laparoscopic procedure (keyhole surgery) which has the advantage of a shorter hospital stay and quicker recovery time. (itpsupport.org.uk)
  • After informed consent, laparoscopic distal pancreatectomy with splenectomy and left adrenalectomy was performed. (sages.org)
  • Laparoscopic splenectomy is becoming the standard procedure for benign splenic disorders including hematologic diseases and hypersplenism. (sages.org)
  • However, the feasibility and safety of laparoscopic splenectomy for nodular and cystic splenic lesions are yet to be elucidated. (sages.org)
  • Twelve patients with splenic nodular or cystic lesions who underwent laparoscopic splenectomy between April 2003 and June 2018 were retrospectively reviewed, in which patient factors (age, sex), lesion factors (diagnosis, size, number) and surgical factors (procedures, operation time, blood loss, postoperative complication, postoperative hospital stay) were assessed. (sages.org)
  • Splenectomy was performed by either pure laparoscopy (n = 3), hand - assisted laparoscopic surgery (HALS) (n = 5) or single incision laparoscopic surgery (SILS) (n = 4), for solid lesions in 8 and cystic lesions in 4 patients. (sages.org)
  • All laparoscopic splenectomies were performed without tumor rupture during the procedure. (sages.org)
  • Laparoscopic splenectomy for the nodular and cystic lesion is safe and feasible. (sages.org)
  • Aim: To report our experience with laparoscopic splenectomy. (uchile.cl)
  • Among them, 17 patients (78% female, age range 17-70 years old) were subjected to a laparoscopic splenectomy. (uchile.cl)
  • Results: Seventy one percent of patients subjected to laparoscopic splenectomy had an ITP. (uchile.cl)
  • However, the hospital stay was shorter for children who underwent laparoscopic cholecystectomy, appendectomy, nephrectomy, splenectomy, and surgery for intra-abdominal testis than for those who underwent open surgery. (medscape.com)
  • With the advent of minimally invasive techniques, laparoscopic splenectomy has become a standard procedure for elective removal of the spleen for most indications. (medscape.com)
  • Indications for laparoscopic splenectomy are the same for open splenectomy except when emergent splenectomy and exploratory laparotomy for traumatic injuries are needed. (medscape.com)
  • Laparoscopic splenectomy is indicated for various benign hematologic diseases, malignant hematologic diseases, secondary hypersplenism, and other anatomical disorders of the spleen. (medscape.com)
  • The most common benign hematologic disease treated with laparoscopic splenectomy is immune thrombocytopenia purpura, and it is recommended when medical therapy, including steroids and intravenous gammaglobulin, fail or long-term steroids are needed. (medscape.com)
  • Laparoscopic splenectomy can also be warranted in other benign conditions, including other types of thrombotic purpura, hereditary spherocytosis, major and intermediate thalassemia with secondary hypersplenism or severe anemia, sickle cell disease, and refractory autoimmune hemolytic anemia. (medscape.com)
  • Laparoscopic splenectomy for malignant diseases of the spleen can be used for diagnostic or therapeutic reasons. (medscape.com)
  • Contraindications to laparoscopic splenectomy are similar to contraindications for all laparoscopic surgeries. (medscape.com)
  • General anesthesia is required for laparoscopic splenectomy. (medscape.com)
  • A standard laparoscopic tray is used for a laparoscopic splenectomy, including laparoscopic scissors and atraumatic graspers. (medscape.com)
  • HYPOTHESIS: Laparoscopic splenectomy (LS) provides health benefits to patients compared with open splenectomy (OS) in terms of perioperative morbidity, complications, and patient recuperation. (mcmaster.ca)
  • Most patients can have a laparoscopic splenectomy. (ocroboticsurgery.com)
  • The surgeon may do either an open splenectomy or a laparoscopic splenectomy. (medlineplus.gov)
  • The hospital stay may be only 1 or 2 days after a laparoscopic splenectomy. (medlineplus.gov)
  • Therefore, removal of the spleen runs the risk of overwhelming post-splenectomy infection, a medical emergency and rapidly fatal disease caused by the inability of the body's immune system to properly fight infection following splenectomy or asplenia. (wikipedia.org)
  • Vaccination for S. pneumoniae, H. influenza and N. meningitidis should be given pre-operatively if possible to minimize the chance of overwhelming post-splenectomy infection (OPSI), a rapid-developing and highly fatal type of septicaemia. (wikipedia.org)
  • citation needed] Splenectomy causes an increased risk of sepsis, particularly overwhelming post-splenectomy sepsis due to encapsulated organisms such as S. pneumoniae and Haemophilus influenzae which are no longer able to be destroyed. (wikipedia.org)
  • Immunization against encapsulated bacterial pathogens decreases the incidence of post- splenectomy sepsis. (umsystem.edu)
  • Background Overwhelming post-splenectomy infection (OPSI) is a serious disease that can progress from a mild flu-like illness to fulminant sepsis in a short time period. (medscape.com)
  • Introduction: Splenectomy, whatever the reason, is an absolute indication for vaccination against encapsulated bacteria in order to prevent overwhelming post-splenectomy infections. (hacettepe.edu.tr)
  • Results: There was significant improvement in platelet count post splenectomy (p value 0.00). (journalcra.com)
  • We describe post-operative complications after cytoreductive surgery with and without splenectomy for Stage III or IV epithelial ovarian cancer , and identify areas for quality improvement in post- splenectomy care. (bvsalud.org)
  • Quality metrics reported include receipt of post- splenectomy education handouts and encapsulated-organism vaccines . (bvsalud.org)
  • Post- splenectomy vaccinations were documented in 42/47 (89.4%) patients . (bvsalud.org)
  • Only 2/47 (4.3%) received post- splenectomy discharge instructions and 3/7 (42.9%) received aspirin for platelets 1 million or more. (bvsalud.org)
  • Areas for quality improvement in post- splenectomy care include receipt of vaccinations , patient discharge information, and timely pancreatic fistula management. (bvsalud.org)
  • Effective June 22, 2021, donors who have had a splenectomy (spleen removal) will not be eligible to donate platelets on our apheresis instruments (Trima Accel) due to a software change. (childrensnational.org)
  • Your doctor has recommended that you undergo a Splenectomy - or spleen removal surgery. (medselfed.com)
  • However, except for hereditary spherocytosis for which the effectiveness of splenectomy has been well documented, the efficacy of splenectomy in other anemias within this group has yet to be determined and there are concerns regarding short- and long-term infectious and thrombotic complications. (haematologica.org)
  • Also, hereditary (genetic) conditions that affect the shape of red blood cells, conditions known as spherocystosis, sickle cell disease or thalassemia, may require splenectomy. (ocroboticsurgery.com)
  • In those models, vagal nerve transaction and splenectomy decreased cytokine release and protected against lung injury and mortality.We hypothesized that, if similar mechanisms are active in humans, patients who require splenectomy for trauma would have better outcomes than injured patients without splenectomy. (northwestern.edu)
  • As a result, males may be more likely to have extramedullary hematopoiesis and thus more likely to require splenectomy or to develop spinal cord compression, an uncommon but serious complication of paraspinal extramedullary hematopoiesis. (medscape.com)
  • 100 × 10 9 /L. Corticosteroids are recommended as the first-line treatment, splenectomy is recommended as the second-line treatment, and thrombopoietin receptor agonists (TPO-RAs) and rituximab are recommended as the third-line treatments for ITP in Japanese ITP treatment guidelines. (biomedcentral.com)
  • Splenectomies were performed without intraoperative or postoperative complications of Grade ?b or more by Clavien-Dindo classification except for 2 cases with postoperative pancreatic fistulas which were Grade A by International study group of postoperative pancreatic fistula (ISGPF). (sages.org)
  • Vaccinations against hepatitis B, pneumococcal infections, meningitis and hæmophilus influenzæ,will be given before the splenectomy is carried out, or immediately afterwards in the case of an emergency splenectomy. (itpsupport.org.uk)
  • a ruptured spleen is a life-threatening condition that requires emergency splenectomy. (wagwalking.com)
  • A splenectomy is the surgical procedure that partially or completely removes the spleen. (wikipedia.org)
  • Splenectomy, the surgical removal of the spleen, is a medical procedure often performed to treat various conditions that affect the spleen. (madeformedical.com)
  • A splenectomy is the surgical procedure performed to remove your cat's spleen when a serious condition resulting in damage to the spleen occurs. (wagwalking.com)
  • Splenectomy may occur during exploratory surgery, if splenic disorder is located during this procedure or may be indicated by the result of tests your veterinarian will perform such as abdominocentesis or radiographs. (wagwalking.com)
  • Preoperative vaccinations and proper surgical methods results in lesser infections post procedure, with statistically insignificant thrombotic episodes making splenectomy a safer treatment option. (journalcra.com)
  • citation needed] Splenectomy also increases the severity of babesiosis, Splenectomized patients are more susceptible to contracting babesiosis and can die within five to eight days of symptom onset. (wikipedia.org)
  • Splenectomy used to be the standard treatment for ITP before drug therapies were developed, and it is still carried out in patients with chronic severe ITP (troublesome ITP for a year or more). (itpsupport.org.uk)
  • As damaged red blood cells passing through the red pulp of the spleen are removed by splenic macrophages, splenectomy is one possible therapeutic approach to the management of severely affected patients. (haematologica.org)
  • Splenectomy has been suggested as a possible therapeutic approach to manage severely affected patients, based on the evidence that abnormal or damaged red blood cells passing through the spleen red pulp are removed by the splenic macrophage system. (haematologica.org)
  • Pneumococcal, meningococcal, and Haemophilus influenzae (Hib) vaccinations are indicated for patients after splenectomy. (umsystem.edu)
  • Assessment of thrombocytopenic patients for splenectomy. (bmj.com)
  • Thirteen patients underwent splenectomy with complete (9) or partial (4) response, but no consistent pattern of results was manifest. (bmj.com)
  • It is concluded that in vivo isotope studies are of little value in predicting the benefit of splenectomy in thrombocytopenic patients, although they may demonstrate the mechanism of the thrombocytopenia, in particular the biphasic survival curve revealing separate 'immune' and 'hypersplenic' components of platelet destruction in ITP. (bmj.com)
  • This guideline applies to patients who have recently undergone a splenectomy or who have recently been diagnosed with a dysfunctional spleen. (nnuh.nhs.uk)
  • Patients and methods: Retrospective review of 27 patients subjected to splenectomy due to hematological diseases. (uchile.cl)
  • The rest of the patients were subjected to an open splenectomy. (uchile.cl)
  • These patients were matched with 63 OS patients according to age, sex, spleen weight, indication for splenectomy, and preoperative morbidity score. (mcmaster.ca)
  • INTERVENTIONS: A total of 147 patients evaluated for elective splenectomy underwent LS. (mcmaster.ca)
  • Does splenectomy protect against immune-mediated complications in blunt trauma patients? (northwestern.edu)
  • Blunt trauma patients who underwent splenectomy were compared with all patients with splenic injuries. (northwestern.edu)
  • Patients who underwent splenectomy demonstrated better secondary outcomes than patients who were managed nonoperatively or with splenorrhaphy, even when controlling for injury severity and physiologic derangements. (northwestern.edu)
  • Dive into the research topics of 'Does splenectomy protect against immune-mediated complications in blunt trauma patients? (northwestern.edu)
  • Conclusion: There was significant clinical response to splenectomy in ITP patients either completely or partially. (journalcra.com)
  • We compared patients who had and did not have splenectomy as part of cytoreductive surgery by demographics, comorbidities, stage, operative and post-operative data, readmission rates, progression free survival , overall survival and death from disease . (bvsalud.org)
  • We identified 47 patients who underwent splenectomy and 454 who did not during primary or interval cytoreductive surgery . (bvsalud.org)
  • While splenectomy adds morbidity , it continues to offer benefit in those patients who can achieve optimal cytoreduction. (bvsalud.org)
  • RÉSUMÉ La présente étude vise à examiner la qualité de vie de patients atteints de thalassémie majeure en fonction de l'âge, du sexe, des résultats scolaires, et de la gravité et des complications de la maladie. (who.int)
  • These bacteria often cause a sore throat under normal circumstances but after splenectomy, when infecting bacteria cannot be adequately opsonized, the infection becomes more severe. (wikipedia.org)
  • There is an increased risk of infection after splenectomy and any fever or infection should receive urgent medical treatment. (itpsupport.org.uk)
  • Children rarely have a splenectomy unless their ITP is particularly troublesome, as most recover from ITP, and the risk of infection without a spleen is far higher until the immune system becomes fully developed in teenage years. (itpsupport.org.uk)
  • Surgery duration and hospital length of stay were longer and blood transfusion more common after splenectomy , but there were no differences in post-operative infection , readmission, or overall survival . (bvsalud.org)
  • Idiopathic thrombocytopenic purpura (ITP) is the most common indication for elective splenectomy. (uchile.cl)
  • Common indications for splenectomy include trauma, tumors, splenomegaly or for hematological disease such as sickle cell anemia or thalassemia. (wikipedia.org)
  • If splenectomy is required due to severe trauma or severe anemia your veterinarian may need to stabilize your cat by providing blood, intravenous fluids, and oxygen prior to a splenectomy. (wagwalking.com)
  • It is possible that the improved outcomes seen in the group undergoing splenectomy were due to favorable modulation of the human innate immune inflammatory response after trauma. (northwestern.edu)
  • If this test shows that platelets are mainly being destroyed elsewhere in the immune system a splenectomy is unlikely to raise the platelet count. (itpsupport.org.uk)
  • I am under the impression that the splenectomy would be incidental to the takedown of splenic flexure and colon resection since it was injured in the process of the surgery. (aapc.com)
  • A splenectomy is surgery to remove the whole spleen, a delicate estimated organ that sits under the left rib confine close to the stomach. (longdom.org)
  • Pediatric Surgery Library , www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829192/all/Splenectomy. (pedsurglibrary.com)
  • The first splenectomy was performed by Andirano Zaccarello in 1549 on a young woman with an enlarged spleen who survived for 6 years after surgery. (medscape.com)
  • This study aimed to determine compliance to immunization guidelines for splenectomy in General Surgery Clinics. (hacettepe.edu.tr)
  • This surgery is called splenectomy. (medlineplus.gov)
  • Splenectomy at the time of primary or interval cytoreductive surgery for epithelial ovarian carcinoma: A review of outcomes. (bvsalud.org)
  • When surgery is necessary, usually the entire spleen is removed (splenectomy), but sometimes surgeons are able to repair a small tear. (msdmanuals.com)
  • Which vaccinations are indicated after splenectomy? (umsystem.edu)
  • Splenectomy is a treatment of choice in chronic ITP refractory to medical management. (journalcra.com)
  • thalassemia responding to splenectomy. (cdc.gov)
  • At the moment we are doing no treatment and going to leave it at no treatment but I wanted to know if anyone has had any experiences with the Rituximab or even a splenectomy. (pdsa.org)
  • Therefore, in this study, the cost-effectiveness of adding rituximab treatment to the existing treatments indicated for ITP in Japan, namely splenectomy and the TPO-RA romiplostim, was investigated based on the scenario that rituximab is eligible for reimbursement in Japan as a treatment for ITP. (biomedcentral.com)
  • The analyzed treatment order consisted of three patterns: splenectomy-romiplostim (sequence 1), splenectomy-romiplostim-rituximab (sequence 2), and splenectomy-rituximab-romiplostim (sequence 3). (biomedcentral.com)
  • 2021. https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/751899/all/splenectomy. (unboundmedicine.com)
  • Occasionally a patient with ITP or hereditary anemia may fail to respond as expected following splenectomy or relapse after an initial response. (medicalalgorithms.com)
  • There was no EHR data indicating she had received pneumococcal vaccination after the accident, a recommended treatment following splenectomy. (blogspot.com)
  • Portal vein pressure, portal vein flow, and liver function tests in the splenectomy group were significantly lower than in group A immediately after splenectomy and postoperatively until the day of sacrifice. (nih.gov)
  • Hospitalization and home cage rest will be required postoperatively to assist your cat in recovery from a splenectomy. (wagwalking.com)
  • Splenectomy is the surgical removal of the spleen. (epnet.com)
  • Surgical removal (splenectomy) of a very enlarged spleen may improve blood cell counts and reduce the need for transfusions. (schoolandyouth.org)
  • This medical exhibit features the key steps of a splenectomy revealing the open abdominal incision, the packing of the abdomen to remove the widespread intra-abdominal hemorrhage, the division of the splenic vessels and the removal of the damaged spleen. (nucleusmedicalmedia.com)
  • Those with splenectomy had significantly higher stage. (bvsalud.org)
  • As no randomized clinical trials, case control or cohort studies regarding splenectomy in these disorders were found in the literature, recommendations for each disease were based on expert opinion and were subsequently critically revised and modified by the Splenectomy in Rare Anemias Study Group, which includes hematologists caring for both adults and children. (haematologica.org)
  • Our recommendations are intended to enable clinicians to achieve better informed decisions on disease management by splenectomy, on the type of splenectomy and the possible consequences. (haematologica.org)
  • As splenic vessels were going through the lesion, proceeded for splenectomy en bloc. (sages.org)
  • Se trata de una mujer de 26 años que presentó dolor en epigastrio e hipocondrio izquierdo, con aumento del perímetro abdominal y pérdida de 5 kg de peso corporal. (bvsalud.org)