How you prepare
By Mayo Clinic staffTo prepare for splenectomy and if there is time before the surgery, you may need to:
- Receive blood transfusions before surgery to ensure you have enough blood cells following removal of your spleen
- Receive a pneumococcal vaccine to help prevent infection after your spleen is removed
- Temporarily stop taking certain medications and supplements
- Avoid eating or drinking for a certain amount of time before the surgery
Your doctor will give you specific instructions to help you prepare.
References
- Splenomegaly. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/hematology_and_oncology/spleen_disorders/splenomegaly.html. Accessed May 15, 2012.
- Landaw SA, et al. Approach to the adult patient with splenomegaly and other splenic disorders. http://www.uptodate.com/index. Accessed May 15, 2012.
- Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniqId=230100505-56. Accessed May 15, 2012.
- Maurus CF. Laparoscopic versus open splenectomy for nontraumatic diseases. World Journal of Surgery. 2008;32:2444.
- Townsend CM Jr, et al. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-6/0/1565/0.html. Accessed May 15, 2012.
- Patient information for laparoscopic spleen removal (splenectomy) from SAGES. Society of American Gastrointestinal and Endoscopic Surgeons. http://www.sages.org/publications/publication.php?id=PI12. Accessed May 15, 2012.
- Cadili A, et al. Complications of splenectomy. The American Journal of Medicine. 2008;121:371.
- Mesa RA (expert opinion). Mayo Clinic, Rochester, Minn. June 4, 2012.


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