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Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
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Superior clinical outcomes in prostate removal surgery and transurethral resection of the prostate.
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Tag Archives: splenectomy
Spleen Surgery – NYC General Surgeon
Spleen Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis
Surgical excision of the spleen or splenectomy becomes imperative when this vital immunologic organ becomes diseased or cancerous or is damaged due to an injury or wound. You could also be a potential candidate of splenectomy if you suffer from an acute blood disorder (polycythemia vera, idiopathic thrombocytopenic purpura, hemolytic anemia or sickle cell anemia) or have a ruptured or enlarged spleen resulting from trauma. Since the spleen is a vital cog in the immunity system, helping to combat diseases and removing worn-out and damaged cells from the bloodstream, its absence could leave you vulnerable to infections.
As removal of the spleen compromises the healthy functioning of your immunological system, you’ll need to take prophylactic antibiotics and vaccines on a regular basis.
Steps
A spleen operation is either performed as an open surgery mode or laparoscopically. In open surgery, the surgeon makes a long and broad cut across the left side of the abdomen, and after that excises the spleen. The opening is then ligatured using sterilized catgut. Open splenectomy is suitable for patients with a swollen or ruptured spleen; those with disfigured splenic tissues from past surgeries, and those who are overweight.
The procedure for laparoscopic splenectomy is nearly the same as the traditional technique only that the former is more advanced. This surgical technique entails the insertion of a laparoscope via a few tiny cuts or keyhole incisions made in the abdomen. A high-resolution video camera attached at the laparoscope’s head transmits images of the spleen and the surrounding area to a large VDU.
The surgeon based on the transmitted images channels small surgical tools inside the highlighted area for cutting off the spleen. The incisions are then sewn up.
Benefits
Splenectomy is usually the last resort to get rid of an infected or dysfunctional spleen. As the surgery can considerably weaken the immune system, the operation should be carried out only on an emergency basis. Nevertheless, a spleen surgery can help mitigate a range of health problems including but not limited to benign or malignant cysts, infection, and blood disorders that may not be treatable through other techniques.
Side effects
The risks or complications about a splenectomy usually involve:
- Bleeding from the operated area
- Infection
- Heart attack or stroke
- Thrombosis or blood clots
- Allergic reactions resulting from general anesthesia
- Breathing problems
- Pus formation beneath the diaphragm
- Pneumothorax or lung collapse
- Herniation in the incision area
- Venous blood clot shifting to the liver causing portal vein thrombosis
- Organs in the vicinity of the spleen like stomach, pancreas, and gallbladder becoming dysfunctional
Precautions
Before the surgery, you’ll be recommended to stop taking specific medicinal supplements and medicines. At the same time, you may have to refrain from consuming foods and water. You also may have to go for blood transfusion, (depending on the state of your health) to make sure that you do not become deficient in blood after the operation. You’ll be inoculated with a pneumococcal vaccine to minimize risks of infection once your spleen is expunged.
Prognosis
You’ll stay in the hospital for about a week following the surgery and depend upon the severity of the complication; complete convalescence might take 5-7 weeks. In the long term, you’ll tend to stay healthy but will remain vulnerable to particular infections and to alleviate the chances of outbreak you’ll have to take prophylactic antibiotics and inoculations lifelong. For more details on how Spleen surgery can be beneficial for you, you can consult our specialists by making an appointment.
References
- https://www.jstor.org/stable/3406279?seq=1#page_scan_tab_contents
- https://www.healthline.com/health/spleen-removal#outlook
- https://www.webmd.com/digestive-disorders/splenectomy#1
- https://www.mayoclinic.org/tests-procedures/splenectomy/about/pac-20395066
- https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-spleen-removal-splenectomy-from-sages/
- https://my.clevelandclinic.org/health/treatments/14614-splenectomy
- https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2195
Recovering After a Splenectomy
A splenectomy is a surgical procedure where the spleen is removed. Most of you will have heard of a spleen, but surprisingly few people know where it is or what it does. The spleen is located under the left rib cage, near the stomach. It is a small organ, about the size of a human fist, and it plays an important role in mediating the body’s autoimmune response. The spleen stores white blood cells, which are the frontline of the body’s autoimmune defenses, as when the body detects bacteria or infection it releases white blood cells to fight them. It also plays a role in recycling old red blood cells to ensure that the body’s circulatory system remains healthy.
Laparoscopy vs. Open Surgery
There are two types of splenectomy: laparoscopic and open surgery. Open surgery is the traditional approach where a large incision is made for the surgeon to gain access to the necessary area. Laparoscopic surgery, on the other hand, is a form of minimally invasive surgery, also known as keyhole surgery, and is designed to minimize both the immediate discomfort of the operation and the time required to recuperate.
Because of the shorter hospital stay required for spleen surgery NYC, laparoscopic surgeries are often preferred by hospitals, as they require far fewer resources and are cheaper overall. Patients also prefer this method for the shorter recuperation period and much lower incidence of side effects and complications.
Unfortunately, not all patients are suitable candidates for laparoscopic surgery; it depends largely on the patient’s health and the nature of the problem with their spleen.
Recovery Period
After the surgery, a hospital stay will be required. The duration of this stay is dependant upon the type of surgery the patient has had and how well it went. Those who have had open surgery will require a longer stay, usually a week or so, whereas a laparoscopic patient will require less.
After leaving the hospital, the recuperation period is usually around five weeks. Some patients will be advised to avoid baths during the recuperation period to allow the wound to heal more quickly; showers are usually OK though.
Complications
Fortunately, complications from splenectomies are rare and patients can live full lives without their spleen. However, as the spleen is involved in the body’s autoimmune response, once it is removed the patient will become more susceptible to infections. Of particular concern are those that cause pneumonia, meningitis, and influenza.
For a consultation on the most appropriate form of splenectomy for you, drop into one of our spleen surgery NYC clinics for a consultation. Speak with the best general surgeons in NYC.