An incision will be made in the abdomen over the spleen. The skin and muscles will be pulled back. The blood vessels to and around the spleen will be tied off. This will free the organ. Moist sponges may be placed in the abdomen. The sponges will absorb some of the blood and fluid. The spleen will be removed. The sponges will then be removed.
The muscles and skin will be closed with stitches or staples. A gauze dressing will be placed over the wound.
A small incision will be made in the abdomen. A thin, lighted tube with a small camera will be inserted through the incision. It allows the doctor to see inside your body. Carbon dioxide gas will be passed into the abdomen. This puffs up the abdomen. It will give the doctor more room to work.
Two or three more small incisions will be made. Special tools will be inserted through these incisions. Blood vessels to the spleen will be cut and tied off. The spleen will then be rotated and removed. The incisions will be closed with stitches and covered with surgical tape.
Immediately After Procedure
The removed spleen is sent to the lab for testing.
You will be taken to a recovery room and monitored. You may need a
if you lost a lot of blood.
How Long Will It Take?
About 45-60 minutes
Will It Hurt?
Anesthesia prevents pain during the procedure. There will be some pain and discomfort until you have healed. Medicine can help to manage discomfort.
Average Hospital Stay
The usual length of stay is 2 to 4 days. The stay may be longer if there are complications.
Complete recovery may take up to 6 weeks. Some activities will be limited during recovery.
The spleen is part of the immune system. There is a higher risk of some infections after it is removed. Vaccines can boost protection against the infections. The type will depend on individual needs.
Call Your Doctor
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
Increasing pain or swelling in your abdomen
Cough, shortness of breath, chest pain, or severe nausea or vomiting
New or unexpected symptoms
If you think you have an emergency, call for emergency medical services right away.
Last reviewed September 2018 by
EBSCO Medical Review Board
Donald W. Buck II, MD
Last Updated: 10/18/2019
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