Assignment Task:
PREOPERATIVE DIAGNOSIS: Splenic hematoma.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Splenectomy.
ANESTHESIA: General.
PROCEDURE: A surgical technique was used to remove the spleen due to splenic hematoma following trauma in a football game, kicked. The patient was given general anesthesia. The anesthesiologist inserted a temporary tube into the patient's stomach to empty it. This helped to decompress the stomach and prevent postoperative nausea. A catheter was inserted into the bladder to drain the urine. Surgery was done with the patient lying flat on his back. Several small incisions were made into the abdomen. One was used for the laparoscope, which was attached to a camera that sent images to the video monitor. The other incisions were used to hold or manipulate tissue in the abdomen. Carbon dioxide gas is insufflated into the abdominal cavity to allow room to work and to allow visualizing the area. Parts of the spleen were freed from surrounding tissue. Blood vessels to the stomach and spleen were visualized, clipped with metal clips, and divided. Once the spleen was dissected free of its attachments in the abdominal cavity, it was placed in a special surgical plastic bag and removed through one of the small abdominal incisions. At the end of the surgery, carbon dioxide gas was removed. The small incisions were closed with suture, the skin cleaned, and the incisions covered with a small dressing. Patient tolerated the procedure well.