What are the complications after splenectomy

summary

A colleague of mine got a serious illness not long ago, and then he had splenectomy without any way. So, what are the complications after splenectomy? Let's talk about it.

What are the complications after splenectomy

The first complication is bleeding. In open splenectomy, the incidence of intra-abdominal bleeding after splenectomy is about 2%, the incidence of intra-abdominal bleeding after spleen preserving surgery is about 4%, and the incidence of intra-abdominal bleeding after laparoscopic splenectomy is 5% - 6%.

The second complication is subphrenic effusion and abscess. If fever of unknown origin occurs in the late stage of splenectomy, subphrenic effusion and abscess should be suspected first. Low immune function, poor drainage or premature drainage tube removal, pancreatic tail injury, gastrointestinal fistula are common causes.

Respiratory complications included pleural effusion, atelectasis and pneumonia. The incidence of respiratory tract complications after splenectomy was 10% - 48%. After laparoscopic splenectomy, the incidence of pleural effusion and atelectasis was less than 4%, almost no pneumonia occurred. Pleural effusion is mostly caused by extensive dissection of the subphrenic peritoneum, or left subphrenic infection. Bilateral pleural effusion after splenectomy is rare, which may be the manifestation of low protein or bilateral subphrenic infection.

matters needing attention

After the operation of splenectomy, we should pay attention to the daily maintenance, especially the observation of the body condition. If there are abnormal conditions, we should deal with them in time, and also pay attention to the later life and diet conditioning.