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Prophylactic Splenectomy

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Prophylactic Surgery

Abstract

Splenectomy is performed for the palliative and radical treatment of primary splenic diseases, extra-splenic diseases, and splenomegaly. The first splenectomy was performed by Andirano Zaccarello in 1549 on a woman with massive splenomegaly.

Classically, splenectomy is performed for five main purposes: to stop bleeding, to extend the lifespan of the pathologic blood cells, in the treatment of the complications of splenomegaly, to remove the splenic masses and sources of diseases located in the spleen, and to establish the diagnosis.

The prophylactic splenectomy defines the removal of healthy or uncomplicated enlarged spleen for the purpose to alleviate the clinical course of splenic and extra-splenic diseases and to prevent disease recurrence and complications of splenomegaly.

In this section, indications for prophylactic splenectomy have been reviewed in view of the current literature data.

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Bayramov, N.Y., Mammadov, R.A., Gahramanova, F.A. (2021). Prophylactic Splenectomy. In: Dilek, O.N., Uranues, S., Latifi, R. (eds) Prophylactic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-66853-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-66853-2_12

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