Techniques used in splenectomy

TECHNIQUES USED IN SPLENECTOMY

Partial splenectomy technique

  • In dorsal recumbency laparotomy is performed and spleen is exposed.
  • Desired area to be defined and double ligate and incise the hilar vessels supplying the area.
  • Squeeze splenic tissue between thumb and forefinger at the line of lesion and milk splenic pulp towards lesion.
  • Place forceps on either side of the line dividing healthy spleen and lesion and resect off the spleen between the forceps.
  • Close cut surface in continuous pattern by absorbable suture. Double row can be applied.
  • One or 2 rows of continuous overlapping mattress sutures can be applied. Haemorrhage can be controlled by surgical diathermy.
  • Abdomen & skin can be closed in routine manner. 

Total splenectomy technique

  • In dorsal recumbency laparotomy is performed and spleen is exposed. Place moistened abdominal sponges under spleen.
  • Squeeze splenic tissue between thumb and forefinger Double ligate and transect all the vessels at splenic hilus with absorbable or non-absorbable suture.
  • Transect the attachment to stomach and remove spleen. Abdomen and skin can be closed as usual.
Last modified: Tuesday, 27 September 2011, 9:27 AM