A splenectomy is an operation to remove the spleen. The spleen plays a role in immunity against bacterial infections. The spleen is in the uppermost area of the left side of the abdomen, just under the diaphragm.
Splenectomy is rarely an emergency and can be scheduled electively at a time that is the most convenient for your family. There are specific requirements regarding immunizations and blood work that may need to be completed prior to this operation. Please check with your child's Hematologist prior to surgery.
- Why is splenectomy necessary?
- Why does my child need to be immunized before the operation?
- How is a splenectomy performed?
- How long will my child remain in the hospital after the operation?
- Splenectomy homecare
Why is splenectomy necessary?
A variety of chronic illnesses, such as Hereditary Spherocytosis or Idiopathic Thrombocytopenic Purpura (ITP), may make it necessary to remove your child's spleen. While rare, trauma to the spleen with uncontrolled bleeding can create a situation where emergency spleen removal is necessary.
Why does my child need to be immunized before the operation?
Immunizations are given prior to splenectomy to prevent specific types of infections most common to patients post splenectomy. When immunizations are given prior to removing the spleen; they are more effective in protecting against infection.
How is a splenectomy performed?
A large incision may not be required. In most cases, a splenectomy can be performed laparoscopically by a Pediatric Surgeon using a small telescope and miniaturized instruments placed through band-aid sized incisions on the abdomen. The operation is completed in approximately two to three hours. During hospitalization, your child will receive intravenous fluids, antibiotics and pain medication. As soon as your child feels well enough he/she will be allowed to eat and drink and take pain medication by mouth (usually 2-3 days after surgery).
How long will my child remain in the hospital after the operation?
Your child must be able to eat, drink and be comfortable on pain medication taken by mouth before going home. Most children are ready to go home in two to three days after the operation.