Top
30
Doctor insights on: Fighting Infection After Splenectomy

Share
1

1
What is the treatment for an overwhelming post-splenectomy infection (OPSI)?

What is the treatment for an overwhelming post-splenectomy infection (OPSI)?

Antibiotics: OPSI is a rare infection that happens after the spleen is removed, because the spleen fights certain encapsulated bacteria. Fortunately, there are vaccines against these 3 types of bacteria, and these are frequently given around the time of the splenectomy. ...Read more

Dr. Sewa Legha
9 Doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


2

2
Can Coumadin levels be accurately monitored by a finger stick instead of a blood draw? Following a roux-n-y gastric bypass I suffered a perforated ulcer, splenectomy, collapsed lung, disconnected bowel, numerous septic infections, 18 months of picc lines,

Can Coumadin levels be accurately monitored by a finger stick instead of a blood draw? Following a roux-n-y gastric bypass I suffered a perforated ulcer, splenectomy, collapsed lung, disconnected bowel, numerous septic infections, 18 months of picc lines,

Yes. A finger stick: It sounds like you have suffered some real problems. I know it seems hard to believe, but you will likely have a full recovery. There is a bright light at the end of the tunnel. ...Read more

3

3
Is my daughter at risk of infection if she gets her belly button pierced and she has had a splenectomy?

Is my daughter at risk of infection if she gets her belly button pierced and she has had a splenectomy?

Small risk: There are certain types of bacteria that she is more susceptible to with a spleenectomy. The main types are NOT ones that are typically associated with wound infections, but I am not going to say it never could happen. It actually may be to her benefit to prophylactically take a course of penicillin before and during her recovery from the piercing, I would talk this option over with her doctor! ...Read more

4

4
Prednisone 5 years. Aiha;splenectomy recommended/rituxan did not work/worried about susceptibility to infection/wound healing if surgery/suggestions?

Prednisone 5 years. Aiha;splenectomy recommended/rituxan did not work/worried about susceptibility to infection/wound healing if surgery/suggestions?

Vitamin A: You are taking Prednisone and have concerns about wound healing. There are always concerns when a condition requires immunosuppression but vitamin a can help. Your surgeon will use extra precautions also like using staples and keeping them in place longer. ...Read more

5

5
I am getting a splenectomy because I have ITP and I wanted to know if I get my spleen removed will my body still be able to fight off my acne & worts?

I am getting a splenectomy because I have ITP and I wanted to know if I get my spleen removed will my body still be able to fight off my acne & worts?

No problem: Splenectomy won't cause problems with acne and other skin conditions. What is recommended however is that because of diminished cellular immunity a splenectomized patient is succeptible to pneumococcal pneumonia and as such a vaccine for the potential pneumonia is given. ...Read more

6

6
What should I do to prepare for my splenectomy?

What should I do to prepare for my splenectomy?

Adopt clean lifestyl: A splenectomy may be required due to multiple types of underlying disease states, preparation should be centered around your underlying disease. As the spleen functions as a filter, helping minimize infection, you may be more susceptible to infection. Flu shots should become routine, especially in the elderly. Avoid contact with those who are ill from infection. ...Read more

7

7
Which vaccinations will I need after splenectomy?

Which vaccinations will I need after splenectomy?

Three main and flu: Three main vaccines apply significantly for people with surgical or functional (sickle cell, etc) asplenia. Haemophilus, pneuomoccus and menigococcal vaccines. Each should be given 14 days before splenectomy if possible, and if not at least 14 after surgery. You should also get the flu shot yearly as well. ...Read more

8

8
After a splenectomy how long will I need to stay in the hospital?

After a splenectomy how long will I need to stay in the hospital?

2-5 days: It depends on whether the operation is performed via minimally invasive surgery (2-3 days) or via traditional "open" surgery (4-5 days). Of course, these are just averages, and situations can arise that may delay discharge. ...Read more

9

9
I know a splenectomy can cause diabetes but how will it affect someone who is already a diabetic?

I know a splenectomy can cause diabetes but how will it affect someone who is already a diabetic?

May vary: It has been suggested that the spleen harbors stem cells that act as precursors to insulin-producing pancreas cells, and post-splenectomy patients may have worsening hyperglycemia. Splenectomy does not "cause" diabetes, but may aggravate blood sugar control over the long term. ...Read more

10

10
I had a partial splenectomy. Can the spleen can regenerate and how can I know if it's been regenerated?

I had a partial splenectomy. Can the spleen can regenerate and how can I know if it's been regenerated?

Yes, it can: Regenerate, both in function and size, but it would depend on the volume of splenic tissue you have left and its blood supply. In order to assess size, an imaging test such as ultrasound would be necessary. In order to assess function, sometimes blood work can help, but immune function cannot be assessed readily. Ask a hematologist for specific advice. ...Read more

11

11
Splenectomy in june. Told when sick if I had a fever to immediately go to the dr. How high of a temp and why is it so important to go immediately?

Splenectomy in june. Told when sick if I had a fever to immediately go to the dr. How high of a temp and why is it so important to go immediately?

No spleen: You need a lower threshold to see a dr because persons without a spleen are more predisposed to certain bacterial infections (particularly encapsulated ones). Most say a temperature over 100.4f is worthy of a check over by your dr or an urgent care--next time you see him/her, clarify. Also, be sure you got your pneumonia shot (probably before hospital discharge). ...Read more

12

12
Good morning I had an emergency splenectomy 20 years ago and now have a work opportunity in a high malaria area of Mozambique. What are the risks?

Good morning I had an emergency splenectomy 20 years ago and now have a work opportunity in a high malaria area of Mozambique. What are the risks?

Better not go: And I hope that you are taking all the precautions as regards infections risks otherwise: immunizations, low dose antibiotics, etc. It might be a good opportunity for your career, but the risks are high, check the following link for general information, you may contact the CDC as well for advice,
http://patient. Info/health/preventing-infection-after-splenectomy-or-if-you-do-not-have-a-working-spleen ...Read more

13

13
Good afternoon I had an emergency splenectomy in 1997 and due to the dangers involved in contracting Malaria when traveling to other African countri?

Good afternoon I had an emergency splenectomy in 1997 and due to the dangers involved in contracting Malaria when traveling to other African countri?

Splenectomy: Please clarify your question.
Follow this link for more information about splenectomy http://www. Childrenshospital. Org/conditions-and-treatments/treatments/splenectomy ...Read more

14

14
I was wondering what are the risks of a splenectomy?

I was wondering what are the risks of a splenectomy?

Splenectomy: Risks are low but can include splenosis, bleeding, infection, abscess and rarely opsi. You need to try to be vaccinated before the operation to minimize this complication against meningiococcus, haemophilus influenzae and pneumococcus. ...Read more

15

15
Why would I want a laparoscopic splenectomy instead of an open one?

Many reasons: Laparascopic spleen surgery results, if successful, with less pain, smaller incision, less hospital time and faster return to work. ...Read more

16

16
If I undergo splenectomy, will my bilirubin level increase or decrease?

If I undergo splenectomy, will my bilirubin level increase or decrease?

Neither: Unless the removal is due to some liver cirrhosis and splenomegaly?
Othe spleen removal cause may have no relation to bilirubin or jaundice ...Read more

17

17
I had an emergency splenectomy 4/21/12. I used to be an energetic person & now I can hardly make it through the day. Is this a side effect?

I had an emergency splenectomy 4/21/12. I used to be an energetic person & now I can hardly make it through the day. Is this a side effect?

Not from splenectomy: It's not unusual to have fatigue after surgery, not specific to splenectomy, but not typical to last more than 2-3 months after surgery. Why was the splenectomy done? If not from trauma, it's possible it is related to the underlying condition, or it may be unrelated. ...Read more

18

18
How can I know if my splenectomy scar is getting infected?

How can I know if my splenectomy scar is getting infected?

Signs of infection: Usually an infection in an incision occurs within a week or two of surgery. Most people have signs like increasing pain and swelling, redness, fever or pus. If you are worried, you should call your doctor. He/she is the best one to determine if you are developing an infection. ...Read more

19

19
Since my splenectomy last year, I will have hot flashes at night when lying still trying to sleep, and when it happens, I feel like I might explode?

Since my splenectomy last year, I will have hot flashes at night when lying still trying to sleep, and when it happens, I feel like I might explode?

May not be related: But you need protective immunization, pneumoccocal vaccine every 5 years, yearly flue vaccination, meningococcal vaccine if you are traveling to endemic area, HIB (hemophilous influenza) See your gyn doctor ...Read more

20

20
Is the splenectomy a risky thing to do?

Is the splenectomy a risky thing to do?

No: There are open and laparoscopic options for some people who need splenectomy. There are a variety of reasons of blood disorder, some cancers, and sometime traumatic injury that may need splenectomy surgery. Your surgeon would discuss and review specific surgical risks for your own specific situation. ...Read more

21

21
What are the common complications of splenectomy?

What are the common complications of splenectomy?

Depends: Most of the time there are no complications. A pneumococcal vaccine is used before surgery to help with your immunity after surgery. Risks of bleeding or infection after surgery are low. Open and laparoscopic surgery options are available for some people, and recovery after laparoscopic surgery may be quicker. ...Read more

22

22
How common is it for someone to need a splenectomy?

How common is it for someone to need a splenectomy?

Not too common: Removal of the spleen is generally reserved for conditions such as trauma or accident with spleen rupture. Other conditions could be from disease called itp causing low platelets. There are some rare lymphoma cancers than may need splenectomy. Also rarely is severe spleen enlargement from uncommon blood or bone marrow disorders. ...Read more

23

23
After a splenectomy, will I need to take any special medications?

After a splenectomy, will I need to take any special medications?

Yes: You will need to be immunized against encapsulated bacteria. The three vaccines you should get are against strep pneumonia (pneumovax), hemophilus influenza (not the flu vaccine), and neisseria meningitidis. If your spleen was taken out electively, you should have gotten the vaccines before surgery. You should get these at least every five years. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
24

24
What are the risks during a splenectomy?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
What are the risks during a splenectomy?

Splenectomy: Infection is most common, also bleeding.

Get a more detailed answer ›
26

26
Will having a splenectomy leave a big scar?

Will having a splenectomy leave a big scar?

It depends.: Splenectomy can now be performed safely via minimally invasive laparoscopic surgery, leaving a scar only 1-2 inches long. When done via the traditional "open" approach, the scar may be 6-8 inches long on average. ...Read more

27

27
Doctors, what are the risks during splenectomy?

Infections: Surgery for spleen removal for traumatic injury or hypersplenism is usually innocuous. Since the spleen contains lymphocytes necessary to help the immune system control infection, one frequently immunizes post surgery with pneumococcal vaccine. ...Read more

28

28
Why is my spleen growing back after splenectomy?

Accessory spleen: About 10 percent of people have an accessory spleen. In some cases, this can also be due to part of the original spleen taking hold and growing as an autotransplant, also called splenosis. These accessory spleens can be functional, and depending on the reason for the original splenectomy, this may be of clinical significance or not. ...Read more

29

29
Can the spleen regenerate after partial splenectomy?

Heals: Not much regeneration occurs.
The function of the remaining part is likely quite adequate.
With full splenectomy, followup, is important. ...Read more

30

30
Does splenectomy prevent recurrent episodes of hemolysis?

Does splenectomy prevent recurrent episodes of hemolysis?

Maybe: Splenectomy is indicated if hemolytic anemia is not responsive to other measures. It may stop hemolysis, but hemolysis can recur at a later time. ...Read more

Dr. Jon Krook
596 Doctors shared insights

Splenectomy (Definition)

Spleen removal (splenectomy) is surgery to remove a diseased or damaged spleen. This organ is in the upper part of your belly, on the left side. It helps your body fight germs and infections. It also ...Read more