How is splenectomy done?
Splenectomy can be done through an open approach or a laparoscopic one and the procedure is performed under general anesthesia.
The open approach: It has greatly been replaced by laparoscopic approach nowadays that its use is generally limited to major trauma when free bleeding into the abdominal cavity is suspected or when there is a lack of laparoscopic expertise. It is done via an abdominal incision; the splenic vessels are ligated and then the spleen is removed.
Laparoscopic approach: Laparoscopic surgery is preferred because it generally results in less hospital stays and more cosmetically acceptable scars with a lesser complication such as wound infection and incisional hernias. The drawback is that it does not allow for a good view of the abdominal cavity which makes it hard to manage traumatic ruptured spleen.