OPERATION: Splenectomy (Open)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV cephalosporin at induction
PRE-OPERATIVE VACCINATIONS: Pneumococcal, Haemophilus influenzae type b, and meningococcal vaccines administered minimum 2 weeks pre-operatively (if elective). Post-splenectomy prophylactic antibiotics prescribed.
POSITION: Supine. Nasogastric tube inserted.
INDICATION:
[Idiopathic thrombocytopenic purpura (ITP) / haematological malignancy / haemolytic anaemia / symptomatic splenomegaly / trauma]. [Platelets and blood products available. Haematology review completed if ITP.]
PROCEDURE:
WHO Checklist performed. Abdomen prepared and draped.