Doctor insights on:
Leukocytosis After Splenectomy
Not perfectly clear,: The reasons for WBC elevation after splenectomy are not completely elucidated, but is known a higher count of >16000/mm3 is present in those developing infection. So, high wbc signaled the body in a big fight against infection. More? Ask your doctor who knows more about his/her patients than anyone online. ...Read more
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
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
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
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
Early and Late: Early: bleeding or injury to adjacent organs are the highest surgical risks. Late: the spleen is a filter that removes old blood cells and certain (encapsulated) bacteria from the bloodstream. Therefore, people without a spleen are prone to certain infections (although there are vaccines for these) and an over abundance of platelets in the bloodstream. ...Read more
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. ...Read more
Splenectomy complic.: Postop complications following splenectomy can occur. Most common complications include wound infections. Abscesses may form in the site of the splenectomy. Injury to the tail of the pancreas may also occur resulting in pancreatitis or pancreatic fistula. Postoperative abscess is much less common following laparoscopic splenectomy than an open procedure. ...Read more
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. ...Read more
OPSS, aka...: ...Overwhelming post-splenectomy sepsis. The spleen is a filter that removes old blood cells and certain (encapsulated) bacteria from the bloodstream. Therefore, people without a spleen are prone to certain infections (although there are vaccines for these). Chemotherapy inherently weakens the immune system's response to infection. Therefore, the 2 combined may increase infection risk. ...Read more
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
General Surgeon: Splenectomies are performed by general surgeons like myself. The most common reason for performing a splenectomy is secondary to trauma (although, we always prefer to save the spleen, if possible). Some rare diseases may require splenectomy as well. In the former situation, the surgical technique is "open"; in the latter, laparoscopy is often possible. ...Read more
As long as you don't have other medical contraindications, and you have fully recovered from surgery, which can take several weeks depending on the technique used.
Remember, never mix alcohol with narcotics or sedatives, don't drink in excess, don't drive after drinking even small amounts of alcohol. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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
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