Indications for Splenectomy

Abstract

Hypersplenism, portal hypertension and traumatic rupture are the most common of the many indications for splenectomy. Confirmation of the diagnosis of hypersplenism by a competent hematologist is essential to insure good results.

The indications for splenectomy, the preoperative, operative and postoperative problems, and special considerations in a series of 748 cases are presented.

With proper preoperative diagnosis and preparation, elective removal of the spleen may be performed with low mortality and morbidity and without late ill effects.