Doctor insights on:
How Long Hospital Stay Is Required For A Ruptured Spleen
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
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
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
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
On other trauma, size of spleen, and technical features.
If isolated splenectomy get in, do, get out--2 hours?
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
Sure: A ruptured spleen can be fatal depending on the extent of the injury. Imho that is the worst thing it can do to you. However even removing the spleen (and saving your life) can lead to overwhelming infections. Most of us try nonoperative therapy first followed by surgery if this fails. Most of the time a repair can be done, but sometimes it must be removed. ...Read more
Bleeding and pain: Ruptured or fractured spleen is usually from an accident, trauma, or injury. It can cause internal bleeding and left upper abdominal pain. Lab tests and likely a ct scan will make the diagnosis. Some lesser splenic injuries will heal on their own, and a major spleen injury would need surgery to remove the spleen. ...Read more
Depends on cause:
Fist two aspects to recovery: 1) trauma with associated injuries 2) solely spleen issue
trauma = more time
second two aspects: 1) minimally invasive surgery 2) large incision
large incision = more time
simple case is a few days
complicated case can be several weeks
if no surgery to remove the spleen then may be several months until activity is real ease to normal. ...Read more
CAT Scan: Rupture of the spleen most commonly occurs after blunt abdominal trauma such as a car crash. Most ers will perform a ct of the abdomen when there is suspicion of abdominal trauma; these scans are very effective in the dx. If a patient is too unstable for a ct scan, an ultrasound may be performed at bedside leading to this diagnosis, yet this test is less specific for diagnosing splenic injury. ...Read more
Quickly, usually: If that is the only organ injured and the determination is that it must be removed, it takes about 1/2 hour to remove it in a normal sized person. In the seriously obese, it may take longer. The presence of other abdominal injuries changes the ball game entirely. ...Read more
???: When was the injury? What was the grade / severity? Most lower grade splenic injuries are successfully managed conservatively and your body usually makes a complete recovery. You are usually kept under close watch and discharged when stable. Recurrent bleeding is possible but not common unless you aggrevated the injury, have bleeding tendencies or on certain meds. Talk to your treating doctor. ...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
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
A 37 yr old friend died very unexpectedly. He turned out to have guienne barie (sp?). He died suddenly from a ruptured spleen. No trauma. Why?
Guillain-Barre is: An autoimmune polyneuritis seen in younger adults. It occurs after viral diseases such as mononucleosis, herpes but also after le and hodgkin disease. Non traumatic rupture of spleen can happen in diseased spleen usually cancers. The 2 conditions (mono and hodgkin) involve the spleen so this could be the link. Only an autopsy could have shed full light on the tragedy. Very sad...And very rare.... ...Read more
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