• In fact, overall, most splenic infarcts do not require surgical intervention. (medscape.com)
  • this purposely infarcts the remaining spleen and minimizes blood loss, which otherwise can be quite profuse in these difficult dissections. (medscape.com)
  • Most commonly, these infarcts contract and fibrose over time, as demonstrated by the sickle hemoglobinopathies (in which repeated episodes of infarction ultimately result in autoinfarction of the spleen). (medscape.com)
  • In homozygous sickle cell disease, multiple infarcts during childhood commonly result in a scarred, contracted, autoinfarcted spleen by adulthood. (medscape.com)
  • Natural history of nonoperative management for grade 4 and 5 liver and spleen injuries in children. (childrensmercy.org)
  • When the spleen bleeds following physical trauma Following spontaneous rupture For long-term treatment of congenital erythropoietic porphyria (CEP) if severe hemolytic anemia develops The spread of gastric cancer to splenic tissue When using the splenic artery for kidney revascularisation in renovascular hypertension. (wikipedia.org)
  • Intraoperative ligation of the splenic artery at the superior margin of the pancreas in the lesser sac is another alternative to minimize blood loss if the spleen is enlarged. (medscape.com)
  • The arterial supply to the spleen consists of the splenic artery (a branch of the celiac axis) and the short gastric arteries (branches of the left gastroepiploic artery), which supply the upper pole of the spleen. (medscape.com)
  • The indications that warrant surgical intervention include hematologic complications for the underlying disease process and persistent symptoms, such as sepsis, abscess, hemorrhage, or persistent pseudocyst formation. (medscape.com)
  • A splenectomy is the surgical procedure that partially or completely removes the spleen. (wikipedia.org)
  • 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)
  • For an infarcted spleen with any of the above-mentioned complications, splenectomy is required. (medscape.com)
  • 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)
  • As laparoscopic techniques become more advanced, many of the surgical problems associated with splenic infarction certainly will prove amenable to laparoscopic splenectomy or partial splenectomy. (medscape.com)
  • This risk is reduced by the age of five years as the spleen undergoes auto splenectomy as a consequence of recurrent vasooclusion and splenic infarction. (bvsalud.org)
  • This occurs when wind-cold-damp, predominantly wind, invades the body causing Qi and dlood stagnation and wandering pain (difficult to localized painful area). (veteriankey.com)
  • However, in some variants of SCD, the persistence of the spleen occurs. (bvsalud.org)
  • In some cases, one or more accessory spleens are discovered and also removed during surgery. (wikipedia.org)
  • The spleen is an important organ in regard to immunological function due to its ability to efficiently destroy encapsulated bacteria. (wikipedia.org)
  • The spleen is an organ located in the abdomen next to the stomach. (wikipedia.org)
  • The rest (~25%) of the spleen is known as the white pulp and functions like a large lymph node being the largest secondary lymphoid organ in the body. (wikipedia.org)
  • The ligaments holding the spleen in place, gastrosplenic ligament, splenorenal ligament and splenocolic ligament, are dissected and the organ is removed. (wikipedia.org)
  • Techniques include suturing the spleen to the surrounding structures, wrapping the organ in omentum or mesh prior to suture fixation, or placing it in a surgically created retroperitoneal pouch. (medscape.com)
  • Parasitemia levels can reach up to 85% in patients without spleens, compared to 1-10% in individuals with spleens and effective immune systems. (wikipedia.org)
  • Laparoscopy is the preferred procedure in cases where the spleen is not too large and when the procedure is elective. (wikipedia.org)
  • In cases of torsion of a wandering spleen, splenopexy with splenic salvage is the procedure of choice in the well-perfused, noninfarcted spleen. (medscape.com)
  • Apart from its immense value in diagnostics we also use endoscopic techniques for treatments which once required more traumatic surgery. (alpinevet.com.au)
  • Compared to other surgical techniques endoscopic procedures are far easier on the patient. (alpinevet.com.au)
  • It is removed under the following circumstances: When it becomes very large such that it becomes destructive to platelets/red blood cells or rupture is imminent For diagnosing certain lymphomas Certain cases of splenic abscess Certain cases of wandering spleen Splenic vein thrombosis with bleeding Gastric varices When platelets are destroyed in the spleen as a result of an auto-immune condition, such as idiopathic thrombocytopenic purpura. (wikipedia.org)
  • The spleen is also known to function as a site for the development of new red blood cells from their hematopoietic stem cell precursors, and particularly in situations in which the bone marrow, the normal site for this process, has been compromised by a disorder such as leukemia. (wikipedia.org)
  • We conducted a retrospective study of seven patients diagnosed with splenic rupture not related to any traumatic event, who had been treated in the surgical department of a community hospital within the last 19 years. (ima.org.il)
  • It is removed under the following circumstances: When it becomes very large such that it becomes destructive to platelets/red blood cells or rupture is imminent For diagnosing certain lymphomas Certain cases of splenic abscess Certain cases of wandering spleen Splenic vein thrombosis with bleeding Gastric varices When platelets are destroyed in the spleen as a result of an auto-immune condition, such as idiopathic thrombocytopenic purpura. (wikipedia.org)
  • Up to 30% of platelets are stored within the average spleen and can be released in response to specific stimuli such as epinephrine. (eurekaselect.com)
  • Spontaneous" rupture of spleen should be suspected when abdominal symptomatology occurs against a background of an acute infectious disease, especially in young males, or a disease known to affect target organs of the reticular endothelial system. (ima.org.il)
  • In cases where the spleen is enlarged due to illness (mononucleosis), trivial activities, such as leaning over a counter or straining while defecating, can cause a rupture. (wikipedia.org)
  • Non-traumatic rupture of the spleen is a rare condition. (ima.org.il)
  • During surgical resection of a pancreatic cancer The classical cause of traumatic damage to the spleen is a blow to the abdomen during a sporting event. (wikipedia.org)
  • Non-traumatic splenic false cysts are rare and show nonspecific clinical findings and symptoms. (bvsalud.org)
  • The first study on the vascular pedicle of the spleen is attributed to Julius Caesar Arantius, in 1571. (eurekaselect.com)
  • The spleen is enlarged in a variety of conditions such as malaria, mononucleosis and most commonly in cancers of the lymphatics, such as lymphomas or leukemia. (wikipedia.org)
  • It can occur in a pathological spleen caused by any of a variety of diseases. (ima.org.il)
  • Otherwise, the infarcted spleen can be left in situ, and the patient can be observed. (medscape.com)
  • For yet unknown reasons this condition may sometimes involve an apparently normal spleen as well. (ima.org.il)