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Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.

Rajeevan Philip Sridhar, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, Suchita Chase.

Abstract
Introduction: Spleen-preserving surgical techniques have become increasingly common to avoid the fatal peri-operative and long-term complications following total splenectomy including OPSI. Immune functions of the spleen are better preserved after partial splenectomy. In this case series, we describe the operative techniques and follow-up of four patients who underwent open partial splenectomy for benign etiology.

Case Series: Four patients underwent partial splenectomy for benign etiology. Left subcostal or Midline laparotomy incision was chosen. After temporary clamping of splenic vessels, LigaSure™ was used for sectioning splenic parenchyma and Surgicel®Fibrillar™ or pledgeted sutures were used to achieve haemostasis. Omentoplasty was done additionally and remnant spleen was anchored to abdomen wall to prevent torsion. All patients are on follow-up and have not developed OPSI.

Conclusion: Partial splenectomy is a safer and feasible surgical alternative for total splenectomy when indicated for benign etiology and appears to be protective against OPSI. A good understanding of vascular anatomy and operative techniques for partial splenectomy is an essential part of any general surgeon’s armamentarium.

Key words: Partial splenectomy, Overwhelming post-splenectomy infection, Spleen preserving surgery, Splenic cyst


 
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How to Cite this Article
Pubmed Style

Sridhar RP, K TD, Jebakumar GS, Roopavathana B, Chase S, . Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques


Web Style

Sridhar RP, K TD, Jebakumar GS, Roopavathana B, Chase S, . Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. http://www.mdpub.net/?mno=67761 [Access: July 24, 2021]. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques


AMA (American Medical Association) Style

Sridhar RP, K TD, Jebakumar GS, Roopavathana B, Chase S, . Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Vancouver/ICMJE Style

Sridhar RP, K TD, Jebakumar GS, Roopavathana B, Chase S, . Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Harvard Style

Sridhar, R. P., K, T. D., Jebakumar, G. S., Roopavathana, B., Chase, S. & (2021) Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Turabian Style

Sridhar, Rajeevan Philip, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, Suchita Chase, and . 2021. Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Chicago Style

Sridhar, Rajeevan Philip, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, Suchita Chase, and . "Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.." doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



MLA (The Modern Language Association) Style

Sridhar, Rajeevan Philip, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, Suchita Chase, and . "Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.." doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



APA (American Psychological Association) Style

Sridhar, R. P., K, T. D., Jebakumar, G. S., Roopavathana, B., Chase, S. & (2021) Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India.. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques