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Doctor insights on: Is An Open Splenectomy A Very Long Procedure

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Is an open splenectomy a very long procedure?

Is an open splenectomy a very long procedure?

No.: The operative time for an open splenectomy is between 60-90 minutes. The recovery time includes a 4-5 day hospital stay and 3-4 weeks before returning to normal activities. In contrast, a laparoscopic splenectomy may take longer but the recovery times are cut in half.

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Dr. Jon Krook
595 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


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Is splenectomy a very common procedure?

Is splenectomy a very common procedure?

Uncommon.: Spleens are not like the appendix; they serve many important functions not the least of which is protection against sudden overwhelming bacterial blood infections (sepsis or bacteremia). The spleen is only removed in pathological conditions like itp, in staging of some cancers like lymphoma, & after traumatic rupture where bleeding cannot be controlled.

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Is splenectomy in patient with elevated Antiphospholipid antibodies a high risk procedure?

Is splenectomy in patient with elevated Antiphospholipid antibodies a high risk procedure?

Relative risk: The procedure carries a higher risk for a person with the antibody, than one without it. However, you should discuss it with your surgeon and the added risk could be mitigated by timely anti-coagulant treatment. You may consult this site for info on this topic. Http://www. Nhlbi. Nih. Gov/health/health-topics/topics/aps/

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How long is the recovery for a splenectomy?

How long is the recovery for a splenectomy?

Depends: If it is open or laparoscopic surgery. May be 1-3 weeks for most light activities and 4-6 weeks before full normal activities.

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How long after a splenectomy would it be safe to go to a concert?

How long after a splenectomy would it be safe to go to a concert?

It's not the music..: ..It's the crowd that I am more concerned about. I would consider attending a concert about equivalent to driving--when your surgeon has given you clearance to drive, you are probably "good to go"--of course, you could ask him/her about concerts, as well, at that time. If the operation was done laparoscopically, a week may be adequate; if "open", two weeks may be more realistic.

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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.

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Are there any long-term effects of having a splenectomy?

Are there any long-term effects of having a splenectomy?

Yes: You will be at an increased risk of infection by encapsulated bacteria. These are strep pneumonia, hemophilus influenza, and neisseria meningitidis. There is a small lifetime risk of post-splenectomy sepsis which can be deadly. It is important to be vaccinated against the above organisms and maintain those vaccines through your lifetime.

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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.

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How long can you live without spleen? Higher chance of cancer or serious life issues? Had a splenectomy. Am 20 years old want to live to 80

How long can you live without spleen? Higher chance of cancer or serious life issues? Had a splenectomy. Am 20 years old want to live to 80

Having no spleen: Is not uncommon, many people don't, either born without, lose it to a disease or trauma, get it urgically removed, or due to other conditions, vaccines against pneumococcus, meningitis and h. Flu should be administered, others like flu shots every year would be needed, antibiotics should be started as soon as infection is suspected, keep antibiotics handy when you travel, follow up with doctor often,

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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.

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What are the main risks of splenectomy?

What are the main risks of splenectomy?

Splenectomy: Main risk is the reduced ability of the body to fight off certain bacterial infections. Recommendations are for vaccines against bacteria like pneumococcus.

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What are the reasons for a splenectomy?

What are the reasons for a splenectomy?

Spleen removal indic: The most common reason for splenectomy is trauma. Non-emergent indications are generally for blood related disorders causing sequestration of cells within the spleen causing alterations in blood counts such as anemia and low platelet counts. Itp and hereditary spherocystosis are among the more common indications. Occasionally tumors and cysts may arise in the spleen that should be removed.

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What are the survival rates of a splenectomy?

What are the survival rates of a splenectomy?

Almost 100%: Actually depends. Splenectomy is normally a safe operation, especially for itp. It has some risk when done for certain hematologic disorders characterized by massive enlargement and other issues (myeloproliferative disorders).

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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.

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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.

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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.

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What kind of shots are you supposed to get after a splenectomy?

What kind of shots are you supposed to get after a splenectomy?

3 shots: You should get shots for meningococcus, hemophilus, and Pneumococcus bacterias. They all posses a capsule that normally the spleen will take care of.

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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.

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Why does splenectomy lead to thrombocytosis?

Why does splenectomy lead to thrombocytosis?

Splenectomy: One of the functions of the spleen is to help filter out impurities and worn out blood components, including red blood cells and platelets. After the removal of the spleen, since there is a decreased recycling of the body's platelets, there will normally be an increase in the number of circulating platelets, a so-called thrombocytosis.