What is the detailed explanation of traumatic splenectomy

summary

My friend is about to do traumatic splenectomy, and he has a lot of psychological pressure before the operation, so he asked me to accompany him to the hospital to understand the operation first. Today, let me talk about the detailed process of traumatic splenectomy.

What is the detailed explanation of traumatic splenectomy

First: general anesthesia, supine position, conventional disinfection field, cloth. A large amount of bleeding was seen in the abdominal cavity through the left inferior costal incision, and the amount was about 2300mL. There were multiple lacerations in the central part of spleen, about 5.0 x 6.0 cm long and 2.5 cm deep, with active bleeding. No obvious damage was found in liver, gallbladder, stomach, intestine, pancreas, kidney, uterus and accessory. Considering splenic rupture, splenectomy was decided.

Second: free, ligate, cut off spleen stomach, spleen colon, spleen kidney, spleen diaphragm ligament, ligate and suture spleen kidney ligament, take out spleen. There was no active bleeding in the abdominal cavity. A rubber tube was placed under the left diaphragm to lead out from the left abdominal wall. The instruments and gauze were checked and the abdomen was closed layer by layer. The operation was successful, the anesthesia was satisfactory, the postoperative bleeding was less, and the patient returned to the ward safely.

Thirdly, splenectomy is still the most effective surgical method in the treatment of traumatic splenic rupture. After splenectomy, antiplatelet aggregation and anticoagulant drugs were used step by step according to the changes of platelet rise, and the changes of platelet and blood coagulation were observed dynamically.

matters needing attention

The blood circulation in the spleen is rich. We should pay attention to postoperative nursing, hygiene and diet, and go to the hospital regularly.