5 doctors weighed in:

Is a splenectomy of common treatment for thrombocytopenic purpura?

5 doctors weighed in
Dr. Barry Rosen
Surgery
3 doctors agree

In brief: 10% of patients

Itp is a disorder where the body forms antibodies that attach to your platelets leading to their early destruction.
The greatest risk of itp is bleeding, which can occur with platelet counts below 20-30, 000. Most people will respond to medical management; if unresponsive, splenectomy is an option, with more than 2/3 of all surgical patients responsive to this treatment.

In brief: 10% of patients

Itp is a disorder where the body forms antibodies that attach to your platelets leading to their early destruction.
The greatest risk of itp is bleeding, which can occur with platelet counts below 20-30, 000. Most people will respond to medical management; if unresponsive, splenectomy is an option, with more than 2/3 of all surgical patients responsive to this treatment.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
Dr. J Roberts
Surgery - Vascular
1 doctor agrees

In brief: Yes

Itp, idiopathic thrombocytopenic purpura, sequesters platelets and can cause spontaneous bleeding.
Splenectomy stops this cycle of platelet destruction if ivig and steroids fail. Be aware of encapsulated organisms: pneumococcus, h. Influenze type b, n. Meningitidis vaccines are mandatory in post-splenectomy patients, lest they succumb to these lethal bugs.

In brief: Yes

Itp, idiopathic thrombocytopenic purpura, sequesters platelets and can cause spontaneous bleeding.
Splenectomy stops this cycle of platelet destruction if ivig and steroids fail. Be aware of encapsulated organisms: pneumococcus, h. Influenze type b, n. Meningitidis vaccines are mandatory in post-splenectomy patients, lest they succumb to these lethal bugs.
Dr. J Roberts
Dr. J Roberts
Thank
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