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    Spleen removal - laparoscopic - adults - discharge

    Splenectomy - microscopic - discharge; Laparoscopic splenectomy - discharge

    Your spleen was removed after you were given general anesthesia (asleep and pain-free).

    The surgeon made 3 to 4 small incisions(cuts) in your belly. The laparoscope and other medical instruments were inserted through these cuts. Carbon dioxide gas was pumped into your belly to expand the area to help your surgeon see better.

    What to Expect at Home

    Recovering from laparoscopic spleen removal usually takes about 1 to 3 weeks. You may have some of these symptoms as you recover:

    • Pain around the incisions. You may also feel pain in one or both shoulders. This pain comes from any gas still left in your belly after the surgery. It shouldgo awayover several days to a week.
    • A sore throat from the breathing tube. Sucking on ice chips or gargling may be soothing.
    • Nausea, and maybe throwing up. Your surgeon can give you a prescription for nausea medicine if you need it.
    • Bruising or redness around your wounds. This will go away on its own.
    • Problems taking deep breaths

    Activity

    Make sure your home is safe as you are recovering. For example, remove throw rugs to prevent tripping and falling. To stay safe inthe bathroom, installgrab bars to help you get in and out of the tub or shower.

    Start walking soon after surgery. Begin your everyday activities as soon as you feel up to it. Move around the house, shower, and use the stairs at home during the first week. If it hurts when you do something, stop doing that activity.

    You may be able to drive after 7to 10 days if you are not taking narcotic pain drugs. You may lift 15 pounds or less. Donot do any heavy lifting or straining for the first 1 to 2 weeks after surgery.

    You may be able to go back to a desk job within a few weeks.

    Managing Pain

    Your doctor will prescribe pain medicines for you to use at home. If you are taking pain pills 3 or 4 times a day, try taking them at the same times each day for 3 to 4 days. They may work better this way.

    Try getting up and moving around if you are having some pain in your belly. This may ease your pain.

    Press a pillow over your incision when you cough or sneeze to ease discomfort and protect your incision.

    Wound Care

    If sutures (stitches), staples, or glue were used to close your skin, you may remove the dressings (bandages) and take a shower the day after surgery.

    If strips of tape strips were used to close your skin, cover theincisions with plastic wrap before showering for the first week. Do not try to wash the tape off. They will fall off in about a week.

    Do not soak in a bathtub or hot tub or go swimming until your doctor tells you it is okay (usually 1 week).

    Preventing Infections

    Most people live a normal active life without a spleen, but there is always a risk of getting aninfection. This is because the spleen is part of the body's immune system, helping fight infections.

    You will be more likely to get infections after your spleen is removed:

    • For the first week after surgery, check your temperature every day.
    • Always tell your doctor if you have a fever, sore throat, headache, belly pain, or diarrhea, or an injury that breaks your skin.

    Keeping up to date on your immunizations will be very important. Ask your doctor if you should have these vaccinations:

    • Pneumonia vaccination
    • Meningococcal vaccination
    • Haemophilus vaccination
    • Flu shot (every year)

    You may need to take antibiotics every day for some time. Donot stop taking antibioticswithout checking with your doctor. Some people will need to take antibiotics every day for several years after surgery.

    Things you can do to help prevent infections:

    • Eat healthy foods to keep your immune system strong.
    • Wash your hands often with soap and water. Ask family members to do the same.
    • Get treated for any bites, especially dog bites, right away.
    • Protect your skin when you are camping or hiking or doing other outdoor activities. Wear long sleeves and pants.
    • Tell your doctor if you plan to travel out of the country.
    • Tell all of your health care providers (dentist, doctors, nurses, or nurse practitioners) that you do not have a spleen.
    • You can even buy and wear a bracelet that will tell all health care workers that you do not have a spleen.

    When to Call the Doctor

    Call your doctor or nurse if:

    • Your temperature is above 101°F (38.3°C).
    • Yourincisions are bleeding, are red or warm to the touch, or have a thick, yellow, green, or milky drainage.
    • You have pain that your pain medicines are not helping.
    • It is hard to breathe.
    • You have a cough that does not go away.
    • You cannot drink or eat.
    • You develop a skin rash and feel ill.

    References

    Cadili A, de Gara C. Complications of splenectomy. Am J Med. 2008;121:371-375.

    Shelton J, Holzman MD. The spleen. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 57.

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              Tests for Spleen removal - laparoscopic - adults - discharge

                Review Date: 2/7/2013

                Reviewed By: Matthew M. Cooper, MD, FACS, Medical Director, Cardiovascular Surgery, HealthEast Care System, St. Paul, MN. Review provided by VeriMed Healthcare Network.Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

                The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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