Splenic Surgery

Spleen surgery, or splenectomy, removes the spleen (a blood-filtering, infection-fighting organ) usually via minimally invasive traditional open (large cut) methods, often for blood disorders, trauma, or cancer, requiring general anesthesia, and leading to a temporary increase in infection risk post-surgery, necessitating vaccinations and antibiotics. Recovery involves some soreness, pain management, and avoiding strenuous activity for weeks, with shorter hospital stays and faster recovery for robotic procedures.

What is the Spleen & Why Remove It?

  • Function: The spleen filters blood, removes old cells, and helps fight germs, located in the upper-left abdomen.
  • Reasons for Removal (Splenectomy): Blood disorders (like ITP, sickle cell), certain cancers (lymphoma), severe injury/trauma, or enlarged spleen (splenomegaly).

Surgical Approaches

  • Robotic or Laparoscopic - Minimally Invasive: Most common; uses 4 small incisions, a camera (laparoscope), and tiny tools for a faster recovery.
  • Open Surgery: A single, larger incision; used for emergencies (like a ruptured spleen) or large spleens, requiring longer hospital stays.

What Happens During Surgery?

  • You're under general anesthesia (asleep).
  • Abdomen inflated with gas for space.
  • Camera and tools inserted through incisions.
  • Spleen detached and removed (often in a bag through an incision).

Recovery & Risks

  • Common: Soreness, pain (managed with meds).
  • Hospital Stay: 1-3 days (laparoscopic) or longer (open).
  • At Home: Rest for 2-3 weeks, avoid heavy lifting for ~4 weeks.
  • Risks: Infection (major concern), bleeding, collapsed lung, injury to nearby organs (pancreas).
  • Post-Surgery Care: Vaccinations (pneumococcal), antibiotics may be needed due to increased infection risk.
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