LaparoscopicDistal pancreatectomy with splenectomyComplicationsIntra-operative ultrasoundSpleenLaparotomyAcuteBowelHereditary spherocytosisMorbiditySplenic ruptureUneventful recoveryAbscessesProcedureRandomized clinicDrainageRespiratoryPostoperativeDiagnosisConsequencesCellularSignificantlyPatientsManagementSevereCasesTimeSurgeryEvaluation
Laparoscopic5
- He underwent a laparoscopic en bloc splenic artery aneurysm resection with splenectomy and distal pancreatectomy with the use of pre-operative prophylactic balloon catheter aneurysm occlusion. (sages.org)
- Conclusion: Laparoscopic distal pancreatectomy with splenectomy is an appropriate minimally invasive option for the treatment of splenic artery aneurysms. (sages.org)
- 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)
- Choledocholithiasis during pregnancy can be managed safely with preoperative endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy followed by laparoscopic cholecystectomy, laparoscopic common bile duct exploration at the time of cholecystectomy, or postoperative ERCP. (guidelinecentral.com)
- Laparoscopic adrenalectomy, nephrectomy, splenectomy and mesenteric cyst excision are safe procedures in pregnant patients. (guidelinecentral.com)
Distal pancreatectomy with splenectomy1
- Frozen-section examination revealed a malignant neoplasm, subsequently identified as a neuroendocrine carcinoma, and a distal pancreatectomy with splenectomy was performed. (primescholars.com)
Complications7
- 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)
- [ 20 ] Of note, splenic marginal zone lymphoma secondary to hepatitis C can often resolve with treatment of the viral hepatitis, and cases not associated with hepatitis C can be treated with rituximab monotherapy thereby sparing the complications of splenectomy. (medscape.com)
- Analysis of operative indications in the series of Nores et al revealed that patients with hematologic conditions were typically explored for complications of those conditions (69%), especially patients with nonmalignant conditions (90%), whereas patients with hematologic malignancies often (47%) underwent surgery for acute symptoms. (medscape.com)
- For an infarcted spleen with any of the above-mentioned complications, splenectomy is required. (medscape.com)
- Complications, such as bleeding or pseudocyst formation, also may be amenable to splenic salvage using techniques of partial splenectomy. (medscape.com)
- The outcomes analyzed included operative time, blood loss, surgical complications, average length of hospital stay, conversion to open surgery & tumor recurrence. (amegroups.org)
- It was also very useful to observe the work in the ultrasound department where ultrasound was used as a part of staging procedure, pre operative evaluation and post operative management of complications. (esgo.org)
Intra-operative ultrasound2
- Preoperative imaging investigation showed a dilation of the distal portion of the main pancreatic duct and intra-operative ultrasound demonstrated a mild stricture of the main pancreatic duct at the body of the pancreas. (primescholars.com)
- Also it was very interesting to observe the intra operative ultrasound scan usage. (esgo.org)
Spleen7
- 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)
- Whereas a unilocular abscess can be managed successfully in select cases with percutaneous catheter drainage, some authors advocate splenectomy in all cases of splenic infarct and abscess, questioning the utility of preserving the residual, partially functioning spleen. (medscape.com)
- Splenectomy was performed because the spleen had multiple tears on the visceral surface, in addition to stripping of the splenic capsule on the diaphragmatic surface. (ispub.com)
- These patients were matched with 63 OS patients according to age, sex, spleen weight, indication for splenectomy, and preoperative morbidity score. (mcmaster.ca)
- The septic and haematological consequences of splenectomy lead to the development of spleen-preserving techniques during distal pancreatectomy. (symbiosisonlinepublishing.com)
- This lead to dispelling of the concept of splenectomy as an innocuous procedure and the development of Spleen Preserving Distal Pancreatectomy (SPDP). (symbiosisonlinepublishing.com)
Laparotomy1
- This patient had a laparotomy and splenectomy and made an uneventful recovery. (ispub.com)
Acute2
- Splenectomy, if full, will prevent further sequestration and if partial, may reduce the recurrence of acute splenic sequestration crises. (medscape.com)
- Mr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). (ipl.org)
Bowel3
- RPLA had shorter operative time, quicker return of bowel function and shorter length of hospital stay when compared to TPLA and OA. (amegroups.org)
- The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance. (ipl.org)
- Due to the high number of ovarian cancer patients, we observed many ovarian cancer surgeries, which included not only the pelvis part but also upper abdomen surgery- liver mobilization, stripping of the diaphragm and other peritoneal surfaces, bowel resection, splenectomy, partial hepatectomy and etc. (esgo.org)
Hereditary spherocytosis1
- The most common indications for therapeutic splenectomy include hereditary spherocytosis, immune thrombocytopenia (ITP), or autoimmune hemolysis where the splenomegaly is refractory to front line therapy and causing significant discomfort due to massive splenomegaly or complicated hypersplenism. (medscape.com)
Morbidity2
- However, there is a lack of evidence from trials showing that splenectomy improves survival and decreases morbidity in sickle cell disease. (medscape.com)
- Thus, we aimed to evaluate the influence of preoperative platelet count on postoperative morbidity after liver transplantation. (researchsquare.com)
Splenic rupture1
- Abdominal computed tomography confirmed the diagnosis of splenic rupture, and the patient required an urgent splenectomy through midline incision. (medscape.com)
Uneventful recovery2
Abscesses3
- There was noted to be splenic vein occlusion and multiple splenic infarcts versus abscesses on pre-operative imaging. (sages.org)
- Traditionally, such abscesses have been managed by means of splenectomy, which can be technically challenging because of the intense surrounding inflammation and because of the scar tissue that surrounds the abscess. (medscape.com)
- However, a patient with multiple splenic abscesses usually will require splenectomy. (medscape.com)
Procedure3
- Our vet surgeons will keep you fully informed about why we are recommending a surgical procedure and regarding any post-operative care your pet will need at home. (cedarmillvet.com)
- We adopted D2 lymphadenectomy without splenectomy as the standard procedure. (kjco.org)
- This needs to be done pre and post procedure. (ipl.org)
Randomized clinic1
- 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)
Drainage2
- [ 4 ] In certain circumstances, isolated splenic abscess can be treated with percutaneous drainage alone, and splenectomy can be avoided. (medscape.com)
- The intervention procedures are being performed as a part of pre-operative biliary drainage or as permanent palliation. (edu.in)
Respiratory1
- 10. Abelson AL, Armitage-Chan E, Lindsey JC, Wetmore LA. A comparison of epidural morphine with low dose bupivacaine versus epidural morphine alone on motor and respiratory function in dogs following splenectomy. (scielo.br)
Postoperative3
- The post-operative course was uneventful and the patient was discharged on 7th postoperative day. (medscape.com)
- CT images at 1 and 6 months following SPDP were compared with preoperative images to evaluate postoperative changes in vascular patency and to determine whether the analysed vessel was a native or collaterals that developed after surgery following the possible occlusion of the original spleenic artery or vein. (symbiosisonlinepublishing.com)
- Epidural nalbuphine significantly reduces the intra-operative isoflurane requirement and provides prolonged postoperative analgesia after ovariohysterectomy in dogs. (scielo.br)
Diagnosis4
- In addition, splenectomy enables pathologic diagnosis in lymphoproliferative disorders such as splenic marginal zone lymphoma or hairy cell leukemia. (medscape.com)
- Xanthogranulomatous cholecystitis (XGC) mimics Gallbladder carcinoma (GBC) in both preoperative and intra-operative settings and the patient may undergo an unnecessary radical cholecystectomy which is associated with a greater morbidityrather than a cholecystectomy alone.We postulated that a pre-operative diagnosis of XGC might benefit patients by avoiding radical procedures and attempted to identify the features of XGC which would differentiate it from GBC before and during surgery. (medicinelakex1.com)
- The differentiation of XGC and GBC pre-operatively remains a challenge but is possible via certain clinical and imaging characteristics.However the definitive diagnosis still remains a frozen section histopathological examination to avoid a radical resection in patients who have a benign condition. (medicinelakex1.com)
- Preoperative diagnosis of CPC was possible in 75% of cases in our study. (jiaps.com)
Consequences1
- 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)
Cellular1
- The transient increase in T-suppressor cells following splenectomy blunts the cellular response to antigens, the decreased IgM production diminishes the anti-body response to antigens not previously encountered, the decrease in properdin and tuftsin levels impairs opsonisation and phagocytosis and increase the risk of overwhelming infection from encapsulated organisms following splenectomy (1,2). (symbiosisonlinepublishing.com)
Significantly1
- Mean operative time was significantly longer for LS, but intraoperative blood loss was significantly lower. (mcmaster.ca)
Patients5
- Many of the altitude-related episodes in patients with sickle cell disease can be safely treated with supportive care rather than with splenectomy. (medscape.com)
- Splenectomy should be reserved for those patients with severe rupture or those with continued or recurrent bleeding. (ispub.com)
- DESIGN: Prospective operative and outcome data of LS patients were compared with those of OS patients (historical controls). (mcmaster.ca)
- INTERVENTIONS: A total of 147 patients evaluated for elective splenectomy underwent LS. (mcmaster.ca)
- In patients with big tumors, pre-operative therapies help to reduce the size of tumors so that they can be resected later. (edu.in)
Management2
- This video demonstrates the technical challenges and management options for successfully completing a distal pancreatectomy and splenectomy in the face of a splenic artery aneurysm. (sages.org)
- Treatment of splenic sequestration involves conservative management with blood transfusions/exchange transfusions to reduce the number of sickled red blood cells, or splenectomy. (medscape.com)
Severe1
- Splenectomy is also indicated for the treatment of chronic, severe hypersplenism refractory to upfront medical therapy. (medscape.com)
Cases2
- Splenectomy is occasionally indicated to help control or stage the underlying disease in cases of splenomegaly. (medscape.com)
- In rare cases, splenectomy may be used to treat thrombotic thrombocytopenic purpura (TTP). (medscape.com)
Time1
- By contrast, the last time I had a scare (and it was only a scare) in 2009, pre Obamacare, I went to Mount Sinai in NYC on a sunny Sunday afternoon, which ought to have been a dead time, and the ER staff confirmed that it was slow. (nakedcapitalism.com)
Surgery2
Evaluation1
- LATG was performed when the depth of tumor confined to mucosa and submucosa and absence of lymph node metastases located in upper and middle gastric portion in preoperative evaluation [ 10 ]. (kjco.org)