When is a splenectomy done?

There are a variety of reasons why a splenectomy may be indicated for the following:

• - To treat a ruptured spleen which may be caused by an abdominal injury.
• - To treat an enlarged spleen, also known as splenomegaly, that may be causing discomfort.
• - To treat some blood disorders that may occur.
• - To treat an infection that may occur in the spleen.
• - To treat hereditary/genetic conditions which may affect the shape of red blood cells.
• - To treat cancers of the cells which fight infection such as lymphoma and certain types of leukaemia.
• - To treat cysts and noncancerous (benign) tumours that may develop inside the spleen.
• - In some cases, the blood supply to the spleen may become, or the artery abnormally expands; therefore, a spleen removal may be indicated.

A comprehensive examination is required to determine whether you are a candidate for splenectomy and whether laparoscopic techniques are appropriate for you.

What does a laparoscopic splenectomy entail?

This procedure is done under general anaesthesia so that you are asleep throughout the procedure. Dr Moodley will make small incisions on your abdomen and insert a tiny video camera called a laparoscope, through one incision. The laparoscope helps guide the surgeon throughout the procedure. He will insert inflate the abdomen with carbon dioxide to give him more room to perform the spleen removal procedure. The surgeon will then insert surgical instruments through one incision and safely remove the spleen. After the spleen removal procedure, Dr Moodley will stitch close the incisions.