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Splenectomy And Shunt Surgeries in Kolkata

Splenectomy and Shunt Surgeries

Splenectomy And Shunt Surgeries in Kolkata

Surgery to remove the spleen is known as a Splenectomy, a fist-sized organ situated on the upper left side of your belly. Your spleen produces white blood cells that aid in the defence against infections, and the organ is also responsible for filtering old and damaged blood cells.

Your health could be at risk if your spleen is injured or is unable to carry out these tasks, necessitating a Splenectomy. Following the spleen removal, your bone marrow and liver assume most of your spleen's functions. However, it still remains a vital organ for fighting infections. Without it, you'll have to take additional safety measures, such as receiving regular vaccinations, to avoid illnesses.

A Distal Splenorenal Shunt (DSRS) is a surgical procedure used to relieve pressure in the portal vein, which transports blood from organs in the abdomen to the liver. Surgeons use this surgery to manage serious problems related to liver disease and high pressure in the portal vein. You and your healthcare practitioner will collaborate closely to track any symptoms. A distal splenorenal shunt may eventually be advised by your doctor if tests reveal swelling or bleeding or if your symptoms are alarming. DSRS is a safe, efficient treatment that can improve your general well-being.

Consult our laparoscopic hospital if you need Splenectomy And Shunt Surgeries in Kolkata.

Surgery to remove the spleen is known as a Splenectomy, a fist-sized organ situated on the upper left side of your belly. Your spleen produces white blood cells that aid in the defence against infections. Book an appointment if you need Splenectomy And Shunt Surgeries in Kolkata

FAQ's

Treatment for a blood condition and splenic damage are the two most common causes of Splenectomy. Common conditions necessitating Splenectomy include the following:

  • Ruptured spleen: There could be potentially fatal internal bleeding if your spleen bursts as a result of a serious abdominal injury or splenomegaly.

  • Enlargement of the spleen: To relieve the pain and fullness associated with an enlarged spleen, a Splenectomy may be performed.

  • Blood-related disorders: Splenectomy is a treatment option for thalassemia, polycythemia vera, and idiopathic thrombocytopenic purpura. However, Splenectomy is usually reserved for cases in which no other treatment can lessen the symptoms of these illnesses.

  • Cancer: A splenectomy is a treatment option for non-Hodgkin's lymphoma, Hodgkin's lymphoma, and chronic lymphocytic leukemia.

  • Infection: If existing treatments are ineffective for a severe infection or the formation of an extensive pustule encircled by inflammation (an abscess) in your spleen, a Splenectomy may be necessary.

Tumor or cyst: A Splenectomy may be necessary for noncancerous cysts or tumors inside the spleen if they grow large or are challenging to remove entirely.

Your surgeon will start the operation with either an open (conventional) or minimally invasive (laparoscopy) approach after you're unconscious. The size of the spleen frequently determines the technique employed. Your surgeon is more likely to choose an open Splenectomy if the spleen is larger.

Laparoscopic Splenectomy involves a surgeon making four small incisions in the abdomen, inserting a tube with a video camera through one of the incisions, and then using special surgical tools to remove the spleen. However, this procedure is not suitable for everyone, as ruptured spleens usually require open Splenectomy. In some cases, a larger incision may be necessary due to scar tissue or other complications.

Open Splenectomy: Your spleen is visible during an open Splenectomy, which involves the surgeon making an incision in the center of your abdomen and reflecting muscle and other tissue. The spleen is subsequently removed, and the wound is sealed.

You are taken to a recovery room following surgery. You should be able to return home the same day or the day following if you have laparoscopic surgery. You might be able to return home after two to six days if you underwent open surgery.
Consult your physician about the best time to resume your regular activities. It could take two weeks if you undergo laparoscopic surgery. Following open surgery, recovery may take six weeks.

In general, a Splenectomy is a safe procedure. However, Splenectomy carries the usual risk of problems associated with any surgery, such as:

  • Bleeding

  • Blood clots

  • Infection

  • Damage to adjacent organs, such as the colon, pancreas, and stomach. 

A procedure called a Distal Splenorenal Shunt (DSRS) is performed to reduce portal vein pressure. Your liver receives blood from your digestive system through the portal vein. DSRS is used by surgeons to manage bleeding and other portal hypertension side effects.

When your portal vein narrows or becomes clogged, usually as a result of a liver injury, you develop portal hypertension, which is elevated blood pressure. Blood is forced from your portal vein into the huge new blood vessels (varices) that grow inside your esophagus or stomach due to high pressure.

The Distal Splenorenal Shunt diverts blood flow away from the portal vein, which helps to stop or lessen bleeding. This ensures that blood flows to your liver while releasing pressure and reducing swelling.
Your splenic vein, which is connected to your portal vein, is cut off by your surgeon during DSRS. The splenic vein is then joined to the renal vein, which is the vein in your left kidney, by the surgeon, opening up a new channel for blood to flow through.

Usually, DSRS takes four hours or so. You are first put under general anesthesia. Throughout the process, you are unconscious and experience no pain. Next, the surgical care group:

  • Take off the vein from your portal vein that is connected to your spleen.
  • Connect the vein to your kidney on the left.
     

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 care team will work closely with you.

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