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

doi:10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques

Case Series
Online Published: 19 Jul 2021

Int J Med Rev Case Rep. 2021; 5(7): 58-62

doi: 10.5455/IJMRCR.Open-partial-splenectomy-operative-techniques

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 surgeons 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. https://www.mdpub.net/?mno=67761 [Access: October 13, 2024]. 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 13, 2024]; 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

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