Doctor insights on:
How Long Do You Have After A Ruptured Spleen To Get To The Hospital
How long should I wait to do heavy lifting after appendectomy for ruptured appendix? I was in hospital for 7 days and it took me about 4 weeks for me to start walking properly I had a open surgery and it is about a 4-5 inch opening on the right side of ac
In: In general, for uncomplicated surgeries, it is recommended to wait 6-8 weeks prior to lifting anything heavier that a gallon of milk. This is because the tensile strength of a wound is relatively stable at this point. After this, a slow return to normal pre-surgery activity should ensue. ...Read more
A few days.: If the spleen is only minorly injured and there is only minimal or no bleeding a couple of days is usually enough, as long as it is the only injury. If it is a more major rupture and there has been some bleeding it may be several days. If it has to be removed it will depend on how you do postoperatively but will likely require at least 2 days after surgery and likely more than 2. ...Read more
5-10 days: For a ruptured spleen your doctors will make sure no bleeding occurs. Next you need to be able to eat food and hold it down. They should have removed your ng tube by now. You may have staples in your skin. Those stay in until follow up. Be well and always wear your seat belt. ...Read more
Depends: A ruptured spleen can range from very serious, even life threatening to relatively minor event depending on the reasons for the rupture and the initial care. In general, your team of docs wants to see that your blood counts are stable, your bowels are working, you are willing and able to care for yourself at home, pain is under control. Ok to ask your care team. ...Read more
Life: Potentially a full life if bleeding is effectively controlled. Not having a spleen is very unlikely to change ones life span. ...Read more
Depends: Splenic injuries are graded for severity. Less severe injuries may be treated non-operatively. More severe injuries may require emergency surgery. ...Read more
Depends: Most of the time ruptured spleen is a result of significant trauma and the abdominal pain would be very noticeable, and the person is evaluated and diagnosed quickly in an emergency room setting. But, I have also seen torn spleen that ruptures days after a neglected injury in someone who did not seek medical evaluation immediately after a significant traumatic injury. ...Read more
Splenic Trauma: The spleen is a relatively fragile organ but it is tucked away & protected by the left lower rib cage in the abdominal cavity. It takes a pretty strong force to rupture a normal spleen, typically due the ribs breaking in that area (car crash, bad fall). The spleen is very well-vascularized--if the trauma is significant, life-threatening bleeding can occur, requiring emergency rx. ...Read more
On other trauma, size of spleen, and technical features.
If isolated splenectomy get in, do, get out--2 hours?
Splenic injury: The length of time required for a splenic injury to heal will invariably depend on the grade on the injury (i.e. Severity of the injury). It can take six weeks to several months for a complete recovery. ...Read more
Ok I had a spleenic infarction the dr told me basically it was a ruptured spleen and should get better and it still hurts after 8 months?
Why infarction?: You should find out why you had an infarction. For ex - if you have blood clots in the heart they can continue to cause problems to your spleen. If you now have a cyst in the spleen it may be growing and causing pain. In the absence of fever it is unlikely to be an infection. I would get a ct scan to see if anything has changed in your spleen. It may give clues to your pain or underlying problem. ...Read more
Perhaps 6-12 months: Most ruptured spleens are due to trauma, in which case most of the time they are surgically removed. You can live without a spleen, though it does have some impact of immune function. Iron storage (also done in bone marrow and liver), and old red blood cell destruction (life of an RBC is 100 days). Must avoid any contact sports or further trauma to that area (left upper quadrant of abdomen). ...Read more
Medical Care Needed: The spleen is a very vascular organ and, though well protected by the rib cage, is susceptible to blunt trauma. Minor injuries may usually be managed by "watchful waiting", but rupture can lead to life-threatening bleeding. In the past, this meant splenectomy. Nowadays, we can often stop the bleeding nonsurgically by internally closing off the bleeding vessels via interventional radiology. ...Read more
At least 3 months: We recommend to maintain precautions for at least three months, and in high risk patients (like someone playing contact sports) to obtain a repeat scan before being cleared to resume the risky activity. ...Read more
It depends: If it was treated with surgery then you are probably OK with flying but ask your surgeon. If your ruptured spleen was managed nonoperatively then it depends on the degree of injury to the spleen but it would be prudent to wait to travel by plane for a few to several weeks after injury. Discuss it with a doctor who has seen your xrays and knows the degree of splenioc injury. ...Read more
Be cautious: Follow the hospital discharge instructions which should include avoiding strenuous activities, and definitely no contact sports. If you did not receive any discharge instructions, contact you discharging physician for further instructions. ...Read more
Often heals: Most lower grade injuries and a select few higher grade injuries will heal without surgery. Real factors determining course are whether the bleeding can be stopped--- if you continue to bleed, surgery is required, or in a select few cases radiology can be used to emboli ze bleeding vessels. If you are unstable, out it comes. ...Read more
Maybe: Not wearing seat-belts in a car accident can result in many severe injuries. The worst injury would be a brain injury. Other injuries would be rib fractures, heart injury, torn aorta or major vein, lung contusion, liver fracture, kidney fracture, intestinal rupture, spleen fracture, etc, etc, etc. ...Read more
Well, that depends.: Sometimes a person with a mild break to the spleen surface can heal with rest / conservative tx. While others with more serious rupture may hemorrhage to death quickly without immediate surgery. Anyone w a possible splenic rupture requires prompt medical evaluation. ...Read more
Variable: The answer depends on the severity of the injury. Minor injury to the spleen can sometimes be managed without surgery by monitoring the patient for on-going bleeding, and operating only if bleeding persists. More severe injury to the spleen, or if it is associated with other injuries, is usually managed by removing the spleen surgically. ...Read more
Contact sport mostly: Just about all contact sports have been associated with splenic trauma. Some are obviously worse than others (football, rugby, martial arts...). Your spleen is usually protected within your thoracic cage but if your spleen is enlarged or the rib cage is damaged (rib fracture - contact sport or fall - as in track and field...) it becomes vulnerable. ...Read more
Yes, good question: Mononucleosis can cause enlarged and engorged spleen, which is more prone to rupture with any blunt injury. Rarely, it can rupture spontaneously. So don't engage in any contact sports or any activity that might cause any injury. It does get smaller as you overcome your illness. ...Read more
YES & NO: Traumatic ruptured spleen is now managed expectantly in the hospital meaning 'watch and wait'. So if the patient is stable with no signs of hemorhage then it is safe to not do surgery and then send the patient home after observation. If there are signs of major hemorrhage soon after injury then immediate surgery is indicated. Complications of emergency surgery are related to overall health. ...Read more
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