(Spleen Removal; Removal, Spleen)
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Reasons for Procedure
- Trauma to the spleen
- Spleen rupture due to tumor, infection, inflammatory condition, or medications
- Enlargement of the spleen
blood disorders when other treatments are not working, including:
- Sickle cell anemia
- Idiopathic thrombocytopenia purpura
- Hereditary spherocytosis
- Hemolytic anemia
- Hereditary elliptocytosis
- Some types of leukemia or lymphoma
- Tumor or abscess in the spleen
- Liver disease (cirrhosis)
- Abnormal formation of fibrous tissue in the bone marrow
- Damage in the blood vessels of the spleen
- Diseased spleen, due to disorders like HIV infection
What to Expect
Prior to Procedure
- Physical exam
- Blood and urine tests
- Review of your current medications
- Electrocardiogram (EKG)
- Other tests to evaluate the cause of the spleen enlargement
- Studies to determine rate of destruction of red blood cells and/or platelets
- Pneumococcal vaccine
- Meningococcal vaccine
- Flu vaccine yearly
- Hemophilus vaccine
- Anti-inflammatory drugs
- Blood thinners
Description of Procedure
Immediately After Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Replace any wet dressings with clean, dry ones.
- For minor pain, take only medication that does not have aspirin.
- Avoid vigorous activity, such as exercise or heavy lifting.
- Avoid driving for about six weeks, or as directed by your doctor.
- Make sure you get all the vaccines that your doctor recommends.
- Daily antibiotics may be used in some people to avoid infections, especially in children
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Increasing pain or swelling in your abdomen
- Cough, shortness of breath, chest pain, or severe nausea or vomiting
- New, unexplained symptoms
American Academy of Family Physicians http://familydoctor.org
National Institutes of Health http://www.nih.gov
Canadian Family Physician http://www.cfpc.ca
Canadian Paediatric Society http://www.cps.ca
Cadili A, de Gara C. Complications of splenectomy. Am J Med. 2008;121(5):371-375.
Hypersplenism. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed.ebscohost.com/about/about-us . Updated June 20, 2011. Accessed September 19, 2013.
Sabiston DC Jr. Textbook of Surgery . 17th ed. Philadelphia, PA: WB Saunders Co.; 2004.
Splenectomy. The Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/splenectomy/hic-splenectomy-spleen-removal.aspx . Accessed September 19, 2013.
10/9/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009;96:1114-1121.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014 -
- Update Date: 09/30/2013 -