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Splenectomy And Shunt Surgeries in Broadway, Kolkata

Splenectomy and Shunt Surgeries

Splenectomy And Shunt Surgeries in Broadway, Kolkata

At Manipal Hospitals, Broadway, Kolkata, we offer specialised surgical services for Splenectomy and Shunt Surgery, providing comprehensive care for patients with conditions affecting the spleen and those requiring shunt procedures to manage blood flow and pressure issues.

Splenectomy is the surgical removal of the spleen, an organ that plays a crucial role in fighting infection and filtering unwanted materials from the blood. This procedure is often recommended for various conditions, including splenic rupture due to trauma, where the spleen is damaged and bleeding; blood disorders such as hereditary spherocytosis, idiopathic thrombocytopenic purpura (ITP), and sickle cell disease; cancers like lymphomas or leukaemia that affect the spleen; and infections resulting in abscesses or cysts in the spleen.

Shunt Surgery aims to divert or bypass blood flow to alleviate pressure and prevent complications in conditions like portal hypertension, hydrocephalus, and congenital heart defects. Our expert surgeons specialise in various shunt procedures, including portosystemic shunts to reduce portal hypertension, ventriculoperitoneal shunts for draining excess cerebrospinal fluid, and arteriovenous shunts for specific medical needs.

Consult our general surgeons if you need Splenectomy And Shunt Surgeries in Broadway, Kolkata.

At Manipal Hospitals, Broadway, Kolkata, we offer specialised surgical services for Splenectomy and Shunt Surgery, providing comprehensive care for patients with conditions affecting the spleen and those requiring shunt procedures to manage blood flow and pressure issues.

FAQ's

A Splenectomy is a significant procedure in which a vital organ, the spleen, is removed. Unless there is an urgent medical situation or alternative nonsurgical therapies are not working, your healthcare practitioner will not recommend or carry out a Splenectomy. However, a spleen is not necessary. Without a spleen, you can carry on leading a typical, healthy life (with a standard lifespan).
 

Your physician could advise having your spleen removed for several reasons. Among them are the following:

  • An injured or damaged spleen

  • An enlarged or ruptured spleen, which can result from trauma

  • Some uncommon blood diseases (sickle cell anaemia, hemolytic anaemia, etc.)

  • Malignancy

  • Substantial splenic cysts or infection

A Splenectomy can be carried out either minimally invasively (laparoscopically) or as an open operation in the conventional way. During either surgery, you will be sedated.

  • Open Splenectomy: In a traditional open surgery, an incision is created in the middle of your abdomen.  Your spleen is then removed by the surgeon by moving other tissues aside. Stitches are then used to seal the wound. If your spleen has ruptured or you have scar tissue from previous procedures, open surgery is recommended.

  • Splenectomy by laparoscopy: Compared to open surgery, this form of surgery is less intrusive and requires a shorter, less painful recovery period. A Laparoscopic Splenectomy involves very few abdominal incisions made by your surgeon. The insides of your spleen are seen on a monitor through a small duct inserted in your spleen that has a small camera. Then, using small instruments, your surgeon can remove your spleen. After that, they will sew up the little cuts. 

You'll receive preparation assistance from your surgeon and physician. You must let them know about all of your prescriptions and any potential pregnancy. You will most likely receive vaccinations against certain viruses and germs from your doctor because having your spleen removed compromises your immune system. To make sure you have enough platelets and red blood cells to withstand the procedure and the resulting blood loss, you might also require a blood transfusion. A few days before the procedure, your doctor could advise you to cease using a specific medication. In addition, you will have to abstain from any liquids and fast for a few hours before the treatment.
 

The Splenectomy procedure has the following risks:

  • Blood loss that occurs during surgery

  • Allergic reactions

  • Anaesthesia-related respiratory problems

  • Blood clot development

  • Infection

Your risk of blood clots and infections increases after a Splenectomy. Without a spleen, even mild infections can escalate quickly and cause major health problems. For instance, overwhelming post-splenectomy infection (OPSI), a type of severe sepsis, can be lethal in the absence of medical intervention. It's critical to heed the advice of your medical professional to avoid infections and to seek prompt treatment if you exhibit symptoms. Your doctor would advise you to get vaccinations to keep your immune system in check for several severe conditions.
 

A vaccine or continuation of a vaccine series is among the most crucial things you will need to undertake following a Splenectomy. What you'll need is

  • Vaccination against pneumococci for pneumonia.

  • Vaccination against Haemophilus influenzae type b, or "Hib."

  • Vaccination against meningococci for meningitis.

Your schedule for vaccinations is determined by your prior immunisation history as well as any current medical conditions (such as chemotherapy). The vaccination regimen often looks like this:

  • Pre-surgery doses: 3 doses will be administered to you before surgery to boost your immunity.

  • Post-surgery doses: Typically, after Splenectomy, vaccines are administered in a series to ensure adequate immunity. The schedule may include doses at specific intervals, such as 2, 4, and 8 weeks post-surgery, followed by booster doses at certain intervals thereafter.

  • Booster shots: One year, two and a half years, and five years following surgery, you will receive booster shots.

A Splenorenal Shunt surgery, also known as a portosystemic shunt, is a procedure used to treat complications of portal hypertension. Portal hypertension is when there's increased pressure in the veins that carry blood from the digestive organs to the liver. This condition can lead to problems like enlarged veins (varices) in the stomach or oesophagus that may bleed.
 

If tests reveal that you have swollen or bleeding veins in your stomach or oesophagus, your doctor could advise a Splenorenal Shunt surgery. Ascites, or an accumulation of fluid in the belly, and oedema, or swelling in the legs and feet, are additional side effects of portal hypertension. Additionally, portal hypertension may result in:

  • Vomiting or bowel movement with blood (rectal haemorrhage).

  • Enlarged spleen, or hypersplenism.

  • Renal failure.

In general, distal Splenorenal Shunt Surgery is a secure and successful process. You are most at risk of bleeding again within the first month following surgery. To help you control your risk and stay safe, your team will collaborate with you.
 

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