About Spleen Surgery
Arizona Premier Surgery, serving the greater Phoenix area, offers laparoscopic spleen removal surgery for patients that qualify. The spleen is a blood-filled organ that is located within the abdomen in the upper left area. It is an organ that stores red blood cells, as well as disease-fighting white blood cells which help to filter the blood. The spleen is a part of the immune system and helps the body fight bacteria while removing old and damaged blood particles from the system. It essentially affects overall platelet count, which includes both the red and white blood counts. Some men and women need to have their spleen removed for medical reasons or other reasons that may cause it not to function properly. The surgeons at Arizona Premier Surgery incorporate the latest surgical methods, including laparoscopic surgery, for safe, effective removal (also known as a splenectomy).
Reasons for Spleen removal
Testing of the spleen using an ultrasound, MRI, CAT scan technology, or another digital form of imaging will help your physician understand if spleen removal is necessary. The spleen is generally not removed for elective reasons but for medical purposes. The initial evaluation usually includes your blood count to examine the sizes, amount, and shapes of the cells in your blood. Understanding this is very helpful in understanding the cause of the underlying problem and allows us to effectively plan for surgery.
The most common reasons for spleen removal surgery include:
- ITP, also known as auto-immune thrombocytopenia purpura: This occurs when a patient’s platelet count is low. Essentially, the body makes antibodies, which can destroy the platelets in the spleen. This is seen as a risk for patients since platelets aid in blood clotting and without them, patients are at risk for bleeding. If medical therapy does not prove to be effective, spleen removal is considered.
- Malignancy: In rare cases, patients with a malignancy will need to have spleen removal. This generally happens when an individual is diagnosed with a cancer of the cells that are known to fight infection, such as lymphoma or various types of leukemia. The spleen is also sometimes removed so that a tumor can be properly diagnosed or treated.
- Hemolytic anemia: Some anemic patients will need spleen removal to prevent or decrease the need for transfusion.
- Genetic conditions: Various diseases that impact the shape of red blood cells, such as sickle cell disease, may require spleen removal surgery to help improve the symptoms caused by the disease.
- Other reasons: Sometimes an infection (although rare) will result in the need for spleen removal. In addition, if the blood supply to the spleen becomes blocked or an artery becomes abnormally large or expands (aneurysm), spleen removal will be necessary.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"I ended up with a perforated appendix shortly after New Year's 2019 and in the hospital. Dr. Pepple was assigned to me. He did a wonderful job of explaining the preferred plan of dealing with the situation, reducing the risk of additional complications and getting me on the road to recovery. He was realistic in outlining the timeframes involved in the preferred treatment approach, and flexible in moving up the my surgery once the initial infection was under control."- T.W. / Healthgrades / Mar 12, 2019
"Dr. Pepple was assigned to me after I was admitted to the hospital with a perforated appendix. He did a wonderful job of explaining the situation and the preferred treatment approach to reduce the impact of further complications. I highly recommend Dr. Pepple and APS."- T.W. / Google / Mar 12, 2019
"Dr.Pepple was by far and away the most professional doctor I have ever experienced! He consulted with me in the removal of a significantly large growth on the back of my upper leg and although wanted to perform in OR agreed that he could perform in office. He explained the difference between OR and in office and was concerned that I might incur more discomfort in office... we decided to go forward down that path and my experience was outstanding!"- J.J. / Healthgrades / Feb 22, 2019
"I have been a patient of Dr. Amini for just over a year now. I was unfortunate enough to have a very severe case of pancreatitis and diabetic ketoacidosis. The damage inside my body from constant buildup of fluids in pseudocyst all threw out my abdomen presented a very difficult case for my doctors. I was treated at two other hospitals without success while I was slipping deeper and deeper into the effects of my disease. Dr. Amini heard about me through one of his partners and sought me out at another hospital. When he found me he offered to transfer me to honorhealth Shea where he has surgical privileges and he headed up a team of surgeons that saved my life. I've seen all of the physicians at his practice and they have all been wonderful and thoughtful. Dr. Pepple even had a way of cheering me up when I was at my lowest. His bedside manner and personality we're perfectly suited for someone as sick as I was. It's important to have doctors who are human first and can explain everything in a way that is realistic yet comforting.Dr. Amini has performed a few surgeries on me already and we're planning for another rather involved one coming up soon. I could not feel more comfortable under the care of anyone else. I highly recommend this team in this office if you have a serious problem and need true help.There will always be people in my life that I remember and cherish. The members on his team and the staff in his office rank among the highest.I would absolutely recommend this office and this staff with the highest confidence.Michael Malfitano"- M.M. / Google / Feb 09, 2019
Laparoscopic Spleen Removal
Most patients are candidates for laparoscopic spleen removal. The biggest factor with this procedure is surgical experience so that a successful outcome can be achieved. The size of the spleen must be thoroughly assessed to determine if it can be removed laparoscopically. Traditional surgery may be used if a spleen is enlarged beyond a laparoscopic approach.
During surgery, the patient is placed under general anesthesia and a cannula (hollow tube) is inserted into the abdominal cavity. Once inserted, carbon dioxide gas is used to expand the abdomen and create a larger, more visible space to operate. Next, a tiny telescope connected to a video camera (known as a laparoscope) is moved through one of the cannulas so that a video of the internal organs can be projected onto a nearby monitor. During the course of the procedure, several small cannulas are used in different areas on the abdomen to allow your surgeon to place the surgical instruments inside your stomach to effectively remove the spleen. Small sutures are used to close the incisions. Because the incisions are tiny to begin with, scarring is minimal after surgery.
What to Expect
After a splenectomy, patients will be monitored and given intravenous fluids. Pain medication may be administered to help relieve any discomfort. Patients need to rest for a few days following surgery but should be able to urinate, walk, and resume some normal function prior to being released from the hospital. Although individuals will experience different levels of recovery, depending on your condition and overall medical health, the advantages of laparoscopic spleen removal are similar for each patient, which include:
- Smaller incisions
- Less post-operative pain and discomfort
- A quicker return to a solid food diet
- A quicker return to normal daily activities
- Less scarring
Plan Your Procedure
- Recovery Time
- 2 Weeks
Safe Spleen Removal
Contact Arizona Premier Surgery to schedule your appointment for spleen removal surgery with one of our seasoned surgeons. Our greater Phoenix area surgery centers use the latest technology and surgical methods, such as laparoscopic surgery, to produce better outcomes for patients. We have offices conveniently located in Chandler, Scottsdale, and Gilbert, AZ.