logging in or signing up spleen easwarmoorthy2007 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 235 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: May 28, 2013 This Presentation is Public Favorites: 1 Presentation Description indication for splenectomy and overview on Comments Posting comment... Premium member Presentation Transcript Surgical Aspects of Spleen: Surgical Aspects of Spleen Dr.S.Easwaramoorthy MS FRCS(Glas) FRCS (Edin) FRCS(Eng)Applied Anatomy : Applied Anatomy 150 gms 9 th , 10 th ,11 th rib Tail of Pancreas, Stomach, Colon, Lt.Kidney, Diaphragm Blood supply Splenic A : Coeliac axis Splenic V : Portal System Histology White Pulp : Immune function Red Pulp : Filters abnormal red cells Splenunculi ( Accessory Spleen )Functions of Spleen: Functions of Spleen Immune function Culling & Pitting Pooling of PlateletsRupture of Spleen Causes: Rupture of Spleen Causes Trauma RTA / Fall/ Assault Iatrogenic Gastrectomy Colectomy Spontaneous Malaria MononucleosisPresentation :: 1. Exsanguination 2. Shock Recovery Shock 3. Delayed Case Presentation :Clinical Signs : Hypovolumic Shock Kehr Sign, Cullen’s Sign, Guarding, Tenderness, Shifting dullness Balance sign Clinical Signs Investigations :: * Hematological : FBC, Haematocrit * Biochemical : Amylase * Radiological : X ray abdomen / Chest U / S Abdomen CT Abdomen * Others : DPL, Laparoscopy Investigations :Ultrasound in Abdominal Trauma: Ultrasound in Abdominal Trauma Merits: quick ER procedure non-invasive identify the fluid and solid organ injury Demerits: operator dependent miss hollow organ injury ‘ S onography is the S tethoscope of the S urgeon’Imaging in abdominal trauma: Imaging in abdominal trauma US abdomen All cases Detects haemoperitoneum Could miss injuries Contrast CT abdomen Stable patient For detailed assessment and decide about treatment Active bleeding retro peritoneumBlunt Injury Abdomen: CT Scan:: Blunt Injury Abdomen: CT Scan: Laceration of Liver Laceration of SpleenDiagnostic Peritoneal Lavage: Diagnostic Peritoneal Lavage Rare test to find out intra abdominal bleeding Indication: Equivocal US Difficult to assess the patient: Head/spinal injury Prior to transferManagement :: 1. Non – Operative 2. Operative (open/Lap) a) Splenectomy b) Splenorrhaphy Management :Indications for Splenectomy: Indications for Splenectomy 1. Trauma 2. Haemolytic anaemia : Thalassemia Spherocytosis ITP 3. Part of radical surgery : Ca.Stomach Ca.Tail of Pancreas 4. Surgery for PHTTechnique of Splenectomy: Technique of Splenectomy - Anesthesia - Position - Incision - Essential Steps - Intra – Operative Complications Bleeding Injury to ……..Post Operative Complications: Post Operative Complications General 1. Respiratory Specific Atelectasis Pneumonia 1. Gastric Dilatation Pleural effusion 2. Pancreatic injury& 2. Cardio Vascular Fistula Arrhythmias 3. OPSI MI DVT 3. Fluid, Electrolyte Imbalance 4.Sepsis 5. Post Operative feverPowerPoint Presentation: OPSI : 1. Why and Who gets it… 2. What Organisms Pneumococci H Influenza Meningococci 3. How to avoid Vaccine 2 wks priorPowerPoint Presentation: Thank You You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.