Open Splenectomy Periprocedural Care

Updated: Aug 24, 2016
  • Author: Ruben Peralta, MD, FACS; Chief Editor: Kurt E Roberts, MD  more...
  • Print
Periprocedural Care

Preprocedural Planning

Before open splenectomy, a Foley catheter should be placed. An orogastric or nasogastric tube should be inserted during intubation and removed postoperatively as clinically indicated. Sequential compression devices are used before the operation begins. Preoperative antibiotics are given within 60 minutes of the skin incision. The skin is prepared and draped with aseptic technique in the standard surgical fashion.

Next:

Equipment

Open splenectomy requires a laparotomy set with abdominal retractors and good lighting.

Previous
Next:

Patient Preparation

General anesthesia is required. The patient is placed in the supine position, with the arms extended. The surgeon stands on the patient's right side with the assistant opposite.

Previous
Next:

Monitoring & Follow-up

Trauma patients should be vaccinated in the postoperative period during the hospital stay because they may have unreliable follow-up once discharged. In elective cases, vaccination 2 weeks before the procedure is recommended. Recommended immunizations include pneumococcal and meningococcal vaccinations and Haemophilus influenzae vaccination.

Previous