Surgical removal of thespleenis a splenectomy.
Partial splenectomy is less common than removal of the whole spleen.
These procedures may be done to treat spleen enlargement, anemia, cancer, ruptured spleen, and more.
SEBASTIAN KAULITZKI / Science Photo Library / Getty Images
Emergency surgeryis usually needed as a life-saving treatment after a traumatic spleen rupture.
SEBASTIAN KAULITZKI / Science Photo Library / Getty Images
What Is a Splenectomy?
This may happen if the surgeon discovers that the organ is significantly enlarged while they are operating.
Contraindications
There are no definite contraindications to this surgery.
Surgery will be carefully considered in anyone with blood clotting concerns.
Potential Risks
Splenectomy shares the same general risks associated with anysurgeryand the administration ofanesthesia.
These disorders include:
Emergency situations aside, the process leading up to splenectomy is not a quick one.
But if you know you will be having this surgery, there are some things to consider.
Location
Splenectomies are done in a hospital operating room (OR) by a general/emergency surgeon.
The OR will be a large room with an operating table in its center.
You will need to change into a hospital gown after you are admitted.
Leave all valuables, including jewelry, at home.
Such drugs include Motrin (ibuprofen), aspirin, and warfarin.
Your surgeon and anesthesiologist will also be by to discuss the procedure and next steps.
You may be asked to sign certain consent forms at this time.
Your vital signs will be checked and recorded.
A cannula will be placed in your nose to deliver oxygen during the procedure.
An accessory spleen is splenic tissue that exists outside of the organ itself.
About 10 to 30% of people have one.
Without its removal, symptoms will persist.
When you wake up, you will feel some pain on the left side of your abdomen.
Recovery
Recovering after splenectomy surgery varies widely.
Some people experience nausea and vomiting; a sore throat from the tube placement is also possible.
It is extremely important that you are diligent about your incision care.
(It can even help ease belly pain.
)But pushing yourself too much, too fast can impact recovery.
Avoid strenuous activities of all kinds until your surgeon clears you to resume them.
Coping With Recovery
Your healthcare provider will give you pain medication to take.
Use it as directed.
Taking it on time can not only keep symptoms well-managed but reduce the risk of accidental overdose.
You may be prescribed narcotic pain medicine, which is appropriate to use if your pain calls for it.
Never take aspirin, as it can increase your risk of bleeding.
For example, additional treatment is likely in cases of cancer.
It is also a good idea to wear amedical ID braceletthat states this.
Health Resources & Services Administration.
U.S. Government Information on Organ Donation and Transplantation.What Can Be Donated.
Feldman L.Laparoscopic Splenectomy: Standardized Approach.World J Surg.
2011;35(7):1487-1495. doi:10.1007/s00268-011-1059-x
Yi SL, Buicko JL.Splenectomy.
[Updated 2020 Jul 11].
In: StatPearls [Internet].
Treasure Island (FL): StatPearls Publishing; 2021 Jan-.
U.S. National Library of Medicine.
MedlinePlus.Open spleen removal in adults-discharge.
2012 Oct;26(10):2758-66. doi:10.1007/s00464-012-2270-z
Mount Sinai.Spleen removal.
Bajwa SA, Kasi A.Anatomy, Abdomen and Pelvis, Accessory Spleen.
[Updated 2020 Aug 22].
In: StatPearls [Internet].
Treasure Island (FL): StatPearls Publishing; 2021 Jan-.
