A patient with ITP is being planned for splenectomy. What is the best time for platelet infusion in this patient?
Ans. (c) After ligating the splenic arterySalient points in Splenectomy for ITP:* MC indication for elective splenectomy* Indications- failure to respond to medical therapy, Side effects of steroids and after first relapse.* Splenectomy provides a permanent response in 80% cases* Gold standard - Laparoscopic splenectomy* Responses occur in 1 week after surgery* Platelets are ready if count is less than 10000/mm3 and transfusion must be done immediately after Splenic artery ligation.* Don't miss spleneculi's during surgery- then there will be recurrence
2 hours before surgery
At the time of skin incision
After ligating the splenic artery
Immediately after removal of spleen
Spleen