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 Laparoscopic Splenectomy

What is Laparoscopic Splenectomy?

Splenectomy is the surgical procedure where the infected or diseased spleen is removed. The spleen is located just behind the left rib cage  The spleen’s major role is to fight infections and filter out old and damaged blood cells.  The major reason for spleen removal is once there is a disease involving the spleen, or if the spleen is ruptured due to trauma and is bleeding inside. Dr. Saggu is the best spleen specialist doctor in Delhi.

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This procedure can be done by a keyhole technique called a laparoscopic splenectomy.

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What are the Causes of Splenectomy?

  • Autoimmune diseases of the spleen

  • Blood disorders

  • Benign tumors of the spleen

  • Trauma

  • Enlarged spleen

  • Splenic cysts

  • Selected leukemias and lymphomas of the spleen

What is the procedure for a laparoscopic splenectomy?

After you have been given anesthesia, the surgeon will insert the laparoscope into your abdomen by making an incision. Carbon dioxide gas is introduced into the abdomen via another incision to give the surgeon more space to operate. The spleen is then separated from the other organs and removed. The incisions are closed after the procedure is completed. A drain tube may be left in place to enable fluid to drain from the surgical site. This is often eliminated within a few days.

What are the Contraindications for Laparoscopic Splenectomy?

Because intra-abdominal bleeding interferes with the surgeon’s ability to view the blood vessels and splenic attachments, laparoscopic excision of the spleen is not indicated in situations of trauma. Spleens that are enormously enlarged may also provide a challenge for the surgeon since the size of the spleen limits the surgeon’s ability to see and manipulate the spleen. Portal hypertension is usually another contraindication to any type of splenectomy.

What are the post-surgery precautions for a splenectomy?

When performed for elective indication laparoscopic splenectomy is typically a safe procedure. In an emergency setting like in trauma with massive bleeding, it is done as a life-saving procedure.

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The spleen is important in the formation of immunity. As a result, unless necessary, splenectomy is normally avoided in children. One week before the procedure, the patient is given specific immunizations. Minor infections, such as sore throats and fevers, should be avoided after splenectomy since they might flare up suddenly. Get advice from our spleen specialist doctor in Delhi Dr. Sukhvinder Singh Saggu.

  • What is Obesity?
    Obesity is a metabolic disorder mainly due to over consumption or under utilisation of caloric substrate.
  • Who has declared obesity as the largest global chronic health problem?
    Excessive fat storage, Improper Diet, Environment, lack of physical activity, genetics, hypothyroidism etc.
  • What causes Obesity?
    Being overweight is reversible condition that can be treated my medical management whereas morbid obesity requires surgical intervention. The body mechanisms that control a person’s weight are set in such a manner in morbidly obese patients that they gain weight easily. These patients find it difficult to loose weight and even more difficult to sustain it.
  • How to know you are Obese?
    Eye Ball Test Ideal Weight = Height (Cms) – 100 in Male or 105 in Female, Body Mass Index (BMI > 35) = Weight (Kgs) / {Height (Mtrs)}2, Waist Circumference, Calculation of Waist to hip ratio, Normal Percentage Body Fat (Female – 18 to 22 & Male – 21 to 25).
  • Why should obesity be treated?
    Obesity is a disease like any other disease. It has become very important to recognise this disease as a cause of severe mental and physical problems which show significant improvement following weight loss. It is very important for the patients to understand Obesity as a disease with it’s complications and their inability to control them.
  • What is Bariatric Surgery?
    Bariatric surgery is a treatment option for patients with morbid obesity. Types of Bariatric Surgery: The choice of procedure should be made after a thorough discussion with your surgeon. Factors Deciding type of Obesity Surgery: BMI, Age, Comorbid Conditions, Eating Habits, Cost, Patient Preference, Surgeon Preference
  • What are the advantages of Laparoscopic Obesity Surgery?
    Advantages of laparoscopic approach include: Less post operative pain, Shorter hospital stay, Early return to work, Improved cosmesis. Their is significant improvement in other Obesity related CO-Morbidities like Depression, Reflux Disease, Diabetes, Hyper Tension, Sleep Apnoea etc.
  • Is morbid obesity surgery for you?
    You will qualify for surgery for morbid obesity if:
  • How does this surgery change your life?
    Lifestyle change depends on the kind of surgery a patient has. Some common lifestyle adjustmants required are:Care of morbidly obese requires a comprehensive set-up. The management team consist of Surgeon, Dietician, Endocrinologist, Physician, Cardiologist, Physiotherapist and Psychologist.
  • How is Obesity Treated?
    The method of treatment depends on your level of obesity, overall health condition, and motivation to lose weight. Treatment may include a combinationof diet, exercise, behaviour modification, and weight-loss surgeries. Remember, weight control is a life-long effort. Weight Loss Surgery not only helps to decrease a significant amount of excess body weight but also helps in the improvement/ resolution of the various obesity related diseases. Removal of hunger hormone (Ghrelin ) plays a very major role. This hormone is secreted from the fundus of the stomach and hence removing the fundus of the stomach helps in a gradual and prolonged weight loss and is a very important step in most of the Bariatric Procedures. Hence Bariatric surgery is the a guiding path from FAT TO FIT, if done by a well trained surgeon and just not any GI Surgeon
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