Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Hiatt, J. R., Phillips, E. H., and L. Morgenstern, eds. SurgicalDiseases of the Spleen. New York: Springer Verlag, 1997.
Wilkins, B. S., and D. H. Wright. Illustrated Pathology of theSpleen....
Cambridge, UK: Cambridge University Press, 2000.
PERIODICALS
Al-Salem A. H., and Z. Nasserulla. "Splenectomy for Children with Thalassemia."Internal Surgery 87 (October-December 2002): 269-273.
Duperier, T., J. Felsherm, and F. Brody. "Laparoscopic Splenectomy for Evans Syndrome."Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 13 (February 2003): 45-47.
Schwartz, J., M. D. Leber, S. Gillis, et al. "Long-Term Follow-Up After Splenectomy Performed for Immune Thrombocytopenic Purpura (ITP)."American Journal of Hematology 72 (February 2003): 94-98.
Svarch, E., I. Nordet, J. Valdes, et al. "Partial Splenectomy in Children with Sickle Cell Disease."Haematologica 88 (February 2003): 281-287.
ORGANIZATIONS
American College of Gastroenterology. 4900 B South 31st St., Arlington, VA 22206. (703) 820-7400.
American Gastroenterological Association (AGA). 4930 Del Ray Avenue, Bethesda, MD 20814. (301) 654-2055.
National Cancer Institute (NCI). NCI Public Inquiries Office, Suite 3036A, 6116 Executive Boulevard, MSC8322 Bethesda, MD 20892-8322. (800) 422-6237.
OTHER
The Body Homepage. Spleen Cancer.
Yoursurgery.com. Splenectomy.
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The spleen is one of the most misunderstood organs in the body. This narrated animation describes both the anatomy and function (physiology) of the spleen.
There are two options for accessing the spleen for a splenectomy (A, 1 and 2). After the abdomen is entered, the spleen is located, and the artery leading to it is tied off (B). The ligament connecting the stomach and spleen is cut (C), as is the ligament connecting the spleen and colon (D). This frees the spleen for removal (E). (Illustration by GGS Inc.)
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Other Information
A splenectomy is a procedure that involves the removal of the spleen by operative means.
Vaccination for pneumococcus, H. influenza and meningococcus should be given pre-operatively if possible. In general, spleens are removed by laparoscopy (minimal access surgery) when the spleen is not too large and when the procedure is elective. It is performed by open surgery for trauma or large spleens. Both methods are major surgeries, and are performed under general anesthesia. The spleen is located and disconnected from its arteries. The ligaments holding the spleen in place are dissected and the spleen is removed. When indicated a drain is left in place and the incision(s) is closed. If necessary, tissue samples are sent to a laboratory for analysis.
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