HPB

Splenectomy (Open)

SPLENECTOMY (OPEN)

Indication: Splenic trauma with haemodynamic instability, haematological conditions (ITP, hereditary spherocytosis, TTP), splenic tumours, portal hypertension with symptomatic hypersplenism, or as part of an oncological resection.

Patient Position: Supine or right lateral decubitus.

Anaesthesia: General.

Prophylactic Antibiotics: Per protocol.

Incision: Midline laparotomy or left subcostal.

Procedure:
1. Abdomen entered and explored. In trauma: haemoperitoneum controlled with manual compression while resuscitation proceeds.