Laparoscopic splenectomy
Overview:
The spleen is a blood filled organ located in the upper left abdominal cavity. It is a storage organ for red blood cells and contains many specialized white blood cells called “macrophages” (disease fighting cells) which act to filter blood. The spleen is part of the immune system and also removes old and damaged blood particles from your system. The spleen helps the body identify and kill bacteria. The spleen can affect the platelet count, the red blood cell count and even the white blood count.
Causes:
This surgery preferred to remove your spleen. That why it’s called splenectomy.
Diagnosis:
An evaluation typically includes a complete blood count (CBC), a visual look at the blood cells placed on a glass
Laparoscopic surgery is a minimally invasive form of surgery, in which operations are performed through small incisions made in the body. Laparoscopy uses an instrument called laparoscope to look at organs inside the body. The laparoscope is long, thin tube that has high intensity light and a high resolution camera at its front end.
First we will evaluate the tests that we have performed thus far and what these test could indicate based on assessment and treatment started.
Depending on why you are having the procedure, a biopsy may be taken, or other treatments may be performed, such as removing tissue growths (polyps).
“In simple terms, Dr. Rutledge had to make an incision into Ana’s abdomen instead of a lap, which just leaves you with three small incision sites. A laparotomy is one large incision where the surgeon can fully open up the abdomen and have total access to locate and assess the problem. I am very sorry to interrupt you, Dr. Rutledge. I have a very impatient family.”
The spleen is an important organ located in the upper left part of the abdomen near the stomach, which has multiple functions, it produces lymphocytes, serves as a major reservoir for blood, filters blood, destroys aged blood cells, has an important function in the filtering and removing bacteria from the bloodstream, and maintains the function of our immune system.
It is definitely important to provide the patient with pre-op and post-op education. A likely procedure to take place for the the first case study would be a laparoscopic cholecystectomy. The Association of Perioperative Registered Nurses (2016) recommends that pre-operatively, patient's do not eat or drink anything at least 6 hours before surgery, confirm with their surgeon on what current medications can or can't be taken the morning of the surgery, and have their baseline vital signs and bloodwork obtained. Post-operative care includes breathing exercises to prevent pneumonia, eating a diet high in fiber and drinking 8 to 10 glasses of water to promote normal bowel movements and slowly increasing physical activity and avoiding
The CBC will measure the number of red blood cells and the clotting process. Platelets help with blood clotting so abnormal platelet numbers could also be a sign of a bleeding disorder. A blood smear test may be able to reveal whether or not red blood cells have been damaged. Clotting factor and clotting time tests, such as PT and PTT, will measure how long it takes blood clots to form. Serum fibrinogen will be tested because fibrinogen is a protein that helps blood clot. Finally, a fibrin degradation test may be ordered to see how much of these substances are in the blood. This is important to note because after blood clots dissolve the fibrin degradation is what is left in the blood (National Heart, Lung, and Blood Institute,
Spleen is an important internal organ, an organ that is accountable for both the storage and purification of red blood cells. “The spleen serves a critical role in immune function because it purifies the blood and helps the immune system to recognize and attack foreign pathogens and allergens” (Healthline Medical Team, 2014). Spleen is located in the left side of the abdominal cavity between the stomach and diaphragm. In adulthood, the spleen is the largest lymphatic organ in the body. Blood, rather than lymph, flows through the spleen. Blood cleansed of microorganism in the spleen. The spleen store blood and destroy worn out red blood
Cholecystectomy, the gold standard for cholelithiasis, until the institution of laparoscopic cholecystectomy.[92] Cholecystectomy requires hospital stay , and has death rate of less than one percent.[93,94] Disadvantages to open cholecystectomy are the resulting pain and weeks of disability.[97] A patient who has had abdominal surgery a number of times may not be a appropriate candidate for Laparoscopic cholecystectomy because of broad adhesions around the gallbladder.[26] Patients who are therapeutically too unstable to undergo open cholecystectomy are also not a good candidate for Laparoscopic cholecystectomy either. The estimation and treatment of the stones in the common bile duct can be carried out by endoscopic retrograde cholangiopancreatography
The spleen has different roles to play in supporting the body and immune system. One is filtering the other is cleaning. It has two main parts, red and white pulp. The white pulp is where a portion of white blood cells are produced and held. The red pulp acts as if it is a filter, removing old or damaged blood cells, from the body. Providence, R.I. [Brown University] — "A key function of the spleen, a fist-sized organ located just behind the stomach, is
Normally, any laparoscopic procedure results in some kind of discomfort. Common complaints of shoulder pain, neck and abdominal pain are reported. However these symptoms usually resolve within 12-24 hours. Nausea can also be
will be white blood cells count but there was some data missing which may have a lethal defect.
The spleen in my body discharge more white and red blood cells to allow my blood cells to transport more oxygen.
The enlargement of the spleen is know as splenomegaly(Splenomegaly). The spleen has active roles in different things. These roles being, immunosurveillance and hematopoiesis(Splenomegaly). The spleen lies within the left upper quadrant of the peritoneal cavity and touches the stomach, the left kidney, the splenic flexure of the transverse colon, and the tail of the pancreas(Splenomegaly). Normally the spleen cannot be palpated, although those with a small build can palate his or her spleen(Splenomegaly). The spleen has four main functions. The first one being eliminating microorganism and particulate antigens from the bloodstream, second being the synthesis of immunoglobulin G properdin and tuftsin, third being the removal of abnormal red blood
Darren Roberts: 55-year-old male with a history of Hypertension, and Hyperlipidaemia who has gone in for a Laparoscopic Cholecystectomy. Six potential problems post-operatively in order are Airway blockage due to possible tongue blockage as evidenced by the fact that Darren is a Smoker and Obese which are both potential factors causing the tongue to block the airways after surgery adding to this is the fact that anyone who has been under aesthetic and have problems with their tongue blocking the airway. (Brown et al, 2015) Nausea and vomiting could also cause blocked airway post-surgery as evidenced by the fact that laparoscopic surgery can cause nausea and vomiting in patients. (Graham, 2008)