c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Massive Splenomegaly: 10

A D V E R T I S E M E N T

   
 

By opening the posterior peritoneum of the lesser sac, the splenic artery can be exposed and encircled with a ligature.       

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Massive Splenomegaly: 11

A D V E R T I S E M E N T

   
 

The exposed splenic artery and vein are shown. It is important to ligate the splenic artery as distally as possible to avoid devascularizing the pancreas.       

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Massive Splenomegaly: 12

A D V E R T I S E M E N T

   
 

The splenic artery was ligated in continuity. This accomplishes three purposes: it reduces the chance of massive hemorrhage if the spleen is injured in mobilization; it allows the spleen to empty through the remaining venous channels, providing a mechanical advantage in mobilization; it provides an autotransfusion of red cells and platelets. After splenic artery ligation, additional platelet transfusions are more effective.     

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This page was last modified on 3/14/2000.