About Splenorrhaphy
Key Highlights
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Organ Preservation: Maintains the spleen's critical immune and blood-filtering functions, unlike complete removal.Reduced Infection Risk: Significantly lowers the lifelong risk of severe infections (OPSI) associated with splenectomy.Minimally Invasive Option: Often performed laparoscopically, leading to smaller scars, less pain, and a faster recovery.listrongPrevents Long-Term Complications:/strong Helps avoid potential long-term hematological issues linked to the absence of the spleen./li/ul
Who is this surgery for?
- Blunt Abdominal Trauma: The most common cause, such as from motor vehicle accidents, sports injuries, or falls.
- Penetrating Abdominal Injuries: Stab wounds or gunshot wounds that damage the spleen.
- Iatrogenic Injury: Accidental damage to the spleen during other abdominal surgeries.
- Selective Cases of Splenic Cysts or Tumors: Where partial resection with repair is possible.
- Hemodynamically Stable Patient: The patient's blood pressure and heart rate are stable enough to attempt repair instead of emergency removal.
How to prepare
- Emergency Assessment: Immediate stabilization with IV fluids and blood products if needed for trauma cases.
- Diagnostic Imaging: CT scan of the abdomen to precisely assess the grade and extent of splenic injury.
- Blood Tests: Complete blood count (CBC), coagulation profile, and blood typing/crossmatching.
- Informed Consent: Detailed discussion of the procedure, its benefits over splenectomy, and potential risks.
- Pre-operative Fasting: Typically 6-8 hours for solids and 2 hours for clear liquids before anesthesia.
- Prophylactic Antibiotics/Vaccines: Administration of antibiotics before surgery and possibly pneumococcal vaccine.
Risks & possible complications
- Bleeding (Hemorrhage): Risk of ongoing or recurrent bleeding from the repaired spleen.
- Infection: Risk of surgical site infection or intra-abdominal abscess.
- Repair Failure: Possibility that the repair may not hold, necessitating a second surgery (splenectomy).
- Adjacent Organ Injury: Unintended damage to nearby structures like the stomach, pancreas, or colon.
- Blood Clots: Risk of deep vein thrombosis (DVT) or pulmonary embolism due to immobility.
- Anesthesia Risks: General risks associated with anesthesia, including allergic reactions or breathing problems.
Recovery & hospital stay
- Hospital Monitoring: Close observation for 3-5 days for signs of re-bleeding, with serial blood tests.
- Pain Management: Administration of pain relief medications to ensure comfort and facilitate deep breathing.
- Activity Restrictions: Strict avoidance of contact sports, heavy lifting, and strenuous activity for 6-8 weeks to allow healing.
- Wound Care: Keeping the surgical incision clean and dry, with instructions on recognizing signs of infection.
- Follow-up Imaging: A follow-up ultrasound or CT scan may be scheduled to confirm healing.
- Medical Alert: Patients are advised to carry a medical alert card stating they have undergone splenic repair.
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Typical hospital stay: 3-5 days
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Expected recovery time: 6-8 weeks
Frequently Asked Questions
If you are considering splenorrhaphy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for splenorrhaphy in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform splenorrhaphy. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for splenorrhaphy compare across other countries where we have data.
Top hospitals for Splenorrhaphy in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing splenorrhaphy.
Myra Sharma, a 32-year-old elementary school...
Myra Sharma, a 32-year-old elementary school teacher and mother of two young children, was an avid cyclist. While riding her bike home from work, she was struck by a car that failed to yield at an intersection. She was rushed to the emergency department with severe left upper abdominal pain and signs of internal bleeding. A CT scan revealed a grade III laceration of her spleen. The surgical gastroenterologist, Dr. Evans, explained that while the spleen was badly injured, it appeared salvageable. He recommended a splenorrhaphy, surgical repair of the spleen, to avoid the lifelong risk of infection that comes with a full splenectomy, especially important for a young mother. Myra was terrified, both for her own life and the prospect of leaving her children. The surgery was successful; the surgical team meticulously sutured the laceration and used a mesh wrap to control bleeding. Her recovery in the hospital was closely monitored. After two weeks of rest at home, she was able to return to light duties. Six months later, a follow-up scan showed a fully healed, functioning spleen. Emotionally, Myra moved from sheer panic and vulnerability to immense gratitude. She felt the procedure gave her back her health without the long-term compromise, allowing her to focus on her family without the shadow of immunocompromise.
Surgical Gastroenterologists for Splenorrhaphy
Explore experienced surgical gastroenterologists who regularly perform splenorrhaphy and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist