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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 aetiology.

Case Series: Four patients underwent partial splenectomy for benign aetiology. 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 pledged 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 aetiology 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. Int J Med Rev Case Rep. 2021; 5(7): 58-62. 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: October 10, 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. Int J Med Rev Case Rep. 2021; 5(7): 58-62. 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. Int J Med Rev Case Rep. (2021), [cited October 10, 2021]; 5(7): 58-62. 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. Int J Med Rev Case Rep, 5 (7), 58-62. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Turabian Style

Sridhar, Rajeevan Philip, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, and Suchita Chase. 2021. Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India. International Journal of Medical Reviews and Case Reports, 5 (7), 58-62. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques



Chicago Style

Sridhar, Rajeevan Philip, Titus D K, Gilbert Samuel Jebakumar, Beulah Roopavathana, and Suchita Chase. "Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India." International Journal of Medical Reviews and Case Reports 5 (2021), 58-62. 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, and Suchita Chase. "Open partial splenectomy operative techniques and follow-up – A case series from a tertiary care centre in South India." International Journal of Medical Reviews and Case Reports 5.7 (2021), 58-62. Print. 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. International Journal of Medical Reviews and Case Reports, 5 (7), 58-62. doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques