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: 19

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

   
 

The splenorenal ligament was incised using the tips of a long Metzenbaum scissors. If direct visualization is not possible because of the size of the spleen, it is safe to make the incision by feel since there are no vital structures between the kidney and the peritoneum.      

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Massive Splenomegaly: 20

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

   
 

Diagram of splenorenal ligament division.       

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Massive Splenomegaly: 21

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

   
 

Division of the splenorenal ligament allows blunt dissection to elevate the spleen, splenic vessels and tail of the pancreas.        

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