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Laparoscopic splenectomy (Spleen removal surgery)- Step by step minimally invasive (keyhole) surgery

Hey guys, welcome back to the Edusurg Clinics channel. Today, we're going to be talking about an important surgical procedure - Laparoscopic splenectomy for idiopathic thrombocytopenic purpura - step by step approach to this minimally invasive (keyhole) surgery.

Splenectomy is the surgical removal of the spleen, which is a small gland located in the upper left side of the abdomen. Idiopathic thrombocytopenic purpura, or ITP, is a blood disorder where the body's immune system attacks and destroys platelets, which are needed for clotting. This can lead to excessive bleeding, bruising, and even life-threatening hemorrhages.

Now, Laparoscopic splenectomy is a minimally invasive surgical technique that is becoming increasingly popular among ITP patients. In this video, we'll explore what the procedure involves, its benefits, and risks, and why it is being preferred over traditional open surgery. So, let's start!

Benefits of Laparoscopic Splenectomy

Firstly, laparoscopic splenectomy requires only a few small incisions, unlike open surgery, which requires a large incision in the abdomen. This reduces the risk of infection, blood loss, and pain, as well as the overall recovery time. In fact, most patients can go home the same day, or within a day or two, after the procedure.

Another significant advantage of laparoscopic splenectomy is reduced scar tissue formation. When a large incision is made during open surgery, it can create more scar tissue, which can lead to complications, such as hernias or adhesions.

Procedure

Now, let's talk about what the procedure involves. During laparoscopic splenectomy, small incisions are made in the abdomen, through which a laparoscope (a tiny camera) and surgical instruments are inserted. The surgeon uses these instruments to carefully remove the spleen while monitoring the procedure on a screen. Once the spleen is removed, the incisions are stitched shut, and the patient is taken to recovery.

Risks

Like any surgery, laparoscopic splenectomy has its risks, although they are minimal. The most common risks include bleeding, infection, and allergic reaction to anesthesia. Occasionally, there may be instances where the procedure cannot be completed laparoscopically, and open surgery may be required. However, this is rare in expert centers.

@SAGESVideo