OverviewSplenectomy is a surgical procedure to remove your spleen. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material, such as old or damaged blood cells, from your blood. Show
The most common reason for splenectomy is to treat a ruptured spleen, which is often caused by an abdominal injury. Splenectomy may be used to treat other conditions, including an enlarged spleen that is causing discomfort (splenomegaly), some blood disorders, certain cancers, infection, and noncancerous cysts or tumors. Splenectomy is most commonly performed using a tiny video camera and special surgical tools (laparoscopic splenectomy). With this type of surgery, you may be able to leave the hospital the same day and recover fully in two weeks. Why it's doneSplenectomy is used to treat a wide variety of diseases and conditions. Your doctor may recommend splenectomy if you have one of the following:
Your doctor may also remove your spleen to help diagnose a condition, especially if you have an enlarged spleen and he or she can't determine why. RisksSplenectomy is generally a safe procedure. But as with any surgery, splenectomy carries the potential risk of complications, including:
Long-term risk of infectionAfter spleen removal, you're more likely to contract serious or life-threatening infections. Your doctor may recommend that you receive vaccines against pneumonia, influenza, Haemophilus influenzae type b (Hib) and meningococci. He or she may also recommend that you take preventive antibiotics, especially if you have other conditions that increase your risk of serious infections. How you prepareFood and medicationsBefore your procedure, you may need to temporarily stop taking certain medications and supplements. You may also need to avoid eating or drinking for a certain amount of time. Your doctor will give you specific instructions to help you prepare. Other precautionsIf you have time before the surgery, you may need to receive blood transfusions to ensure that you have enough blood cells after your spleen is removed. Your doctor may also recommend that you receive a pneumococcal vaccine and possibly other vaccines to help prevent infection after your spleen is removed. What you can expectBefore the procedureRight before your surgery, you will be given a general anesthetic. The anesthesiologist or anesthetist gives you an anesthetic medication such as a gas — to breathe through a mask — or as a liquid injected into a vein. The surgical team monitors your heart rate, blood pressure and blood oxygen throughout the procedure. You will have heart monitor leads attached to your chest and a blood pressure cuff on your arm. During the procedureAfter you're unconscious, your surgeon begins the surgery using either a minimally invasive (laparoscopic) or open (traditional) procedure. The method used often depends on the size of the spleen. The larger the spleen, the more likely your surgeon will choose to do an open splenectomy.
After the procedure
ResultsIf you had splenectomy due to a ruptured spleen, further treatment usually isn't necessary. If it was done to treat another disorder, additional treatment may be required. Life without a spleenAfter splenectomy, other organs in your body take over most of the functions previously performed by your spleen. You can be active without a spleen, but you're at increased risk of becoming sick or getting serious infections. This risk is highest shortly after surgery. People without a spleen may also have a harder time recovering from an illness or injury. To reduce your risk of infection, your doctor may recommend vaccines against pneumonia, influenza, Haemophilus influenzae type b (Hib) and meningococci. In some cases, he or she may also recommend preventive antibiotics, especially for children under 5 and those with other conditions that increase the risk of serious infections. After splenectomy, notify your doctor at the first sign of an infection, such as:
Make sure anyone caring for you knows that you've had your spleen removed. Consider wearing a medical alert bracelet that indicates that you don't have a spleen. Which position would the nurse maintain a client in after a thyroidectomy?After surgery, keep the patient in high-Fowler's position to help prevent any excess edema from forming and to minimize bleeding or oozing from the incision. Patients experiencing hypocalcemia will receive calcium gluconate.
Which complication with the nurse be concerned about if there is removal of the parathyroid glands during a thyroidectomy?If all four parathyroid glands were injured or removed during surgery, the blood calcium levels can become lower than normal.
What should the nurse assess the client with hypothyroidism for?Diagnosis. Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are: Activity intolerance related to fatigue and depressed cognitive process. Risk for imbalanced body temperature related to cold intolerance.
Which surgery will a client undergo if pituitary gland must be removed?A hypophysectomy is a surgery done to remove the pituitary gland. The pituitary gland, also called the hypophysis, is a tiny gland nestled beneath the front of your brain.
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