OPERATION: Laparoscopic Splenectomy
ANAESTHETIC: General anaesthesia
PRE-OPERATIVE VACCINATIONS: Pneumococcal, Haemophilus influenzae type b, and meningococcal vaccines administered minimum 2 weeks pre-operatively.
POSITION: Right lateral decubitus, left side up at 60° angle, reverse Trendelenburg. Beanbag support. Left arm positioned as for left lateral thoracotomy. Orogastric tube inserted.
INDICATION:
[Idiopathic thrombocytopenic purpura (ITP) / haematological malignancy / haemolytic anaemia / symptomatic splenomegaly / trauma / incidental]. [Platelet and blood products available. Haematology review completed for ITP.]
PROCEDURE:
WHO Checklist performed. Abdomen prepared and draped.
PORT PLACEMENT: