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The spleen is a very important organ of the human body. A splenectomy is the process of removing the spleen from the human body. The spleen is a very small, fist-sized organ which is located under the rib cage, close to the stomach. The basic function of the spleen is removing the damaged or dead red blood cells. It also removes any kind of bacteria present in the bloodstream that can cause infections. When the spleen is removed, there are chances of infection that can be life-threatening if not treated. It is always better to prevent infections as soon as you see the symptoms.
Why do you need a Splenectomy?
There can be many reasons for the removal of the spleen from your body such as –
- In case, the spleen is damaged due to an accident, injury or in the process of an abdomen surgery.
- For treating some medical conditions such as lymphomas or leukemias.
- Overactivity of your spleen.
- In case any abnormalities found in the red blood cells of the body.
- Collagen vascular diseases
- In some rare cases, a person may be born without a spleen.
The infection that is caused due to the removal of the spleen is called sepsis. This is a life-threatening condition where the bacteria that causes the infection keeps on spreading to the entire body and bloodstream. It is going to impact the normal functioning of the human body. Symptoms of sepsis include high fever, shivering, headache, confusion, drowsiness, severe pain in the abdominal area and increased heartbeat. But all this starts with a simple respiratory problem such as a respiratory tract infection.
Tips to prevent infections after a Splenectomy:
If you have had a splenectomy, then it is very important for you to take certain precautions such as:
- You need to take certain vaccines such as HIB, pneumococcal or meningococcal and they will reduce the risk of getting an infection after the removal of the spleen.
- You will have to take some additional doses of the above vaccines in order to maintain the effect on your body.
- You need to take antibiotics on a daily basis to prevent a sepsis infection.
- The first stage or symptoms start with chills or fever and hence you should make sure to maintain a set of antibiotics. Start taking them as soon as you see these symptoms.
- If you are travelling to another country, then make sure you carry the antibiotics with you. If you notice any kind of symptoms, you need to take the medicine immediately.
You need to discuss the above-listed points with your doctor, especially if you require more information about how to prevent infection after the spleen is removed. In case you have a concern or query you can always consult an expert & get answers to your questions!
Lipoma excision is the surgical removal of lipomas present in the body of persons affected by lipomatosis. People affected with lipomatosis have fatty lump-like accumulations in the subcutaneous tissues of the head, neck, shoulders and back. These fatty deposits are slow-growing benign tumours that are mostly painless and soft, mobile masses. A lipoma or multiple lipomas that exceed 5 cm in size and cause cosmetic disfigurement, pain or restrict movement in individuals, require surgical intervention. The classic method for removal of lipomas is excision biopsy or lipoma excision, which involves the incision and removal of the deposits and their capsules. However, the surgical removal of a large lipoma or multiple lipomas often results in disfiguring scars.
Outlining the lipoma area prior to the surgery with a marker serves as a guideline for the surgeon. The marked area is then cleansed with betadine solution. Sterile towels are used to drape the area after cleansing. Local anaesthesia is administered along with a field block into the subcutaneous area.
This procedure is followed for lipomas of smaller sizes. An incision of 3-4mm is made over the lipoma, following which a curette is placed in the wound to cut away the lipoma from the surrounding tissue. The tumour is then enucleated through the incision with the curette. A pressure dressing is applied to prevent the formation of hematoma after enucleation. Sutures are not required for this procedure.
Larger lipomas or multiple lipomas spanning larger areas are best removed by incisions made on the skin overlying the lipoma. The incisions are made in the form of a fusiform excision that are aligned with the skin tension lines and are smaller than the underlying tumour. A haemostat is used to grasp the skin inside the incision; this provides the necessary traction for removing the tumour. Once the central island of skin has been grasped by the haemostat, dissection is performed beneath the subcutaneous fat to the tumour. A scalpel is used to cut away tissue around the lipoma. Cutting of tissue is carefully performed under direct supervision to avoid damage to surrounding nerves or blood vessels. For further removal of the remaining lipoma mass, haemostats or clamps are used. Once freed, the lipoma is removed as a whole, and haemostasis is achieved.
Occasionally drains have to be placed for preventing fluid accumulation. The skin is then closed with nylon sutures and a pressure dressing is placed to prevent formation of hematoma. The wound is checked in 2-7 days and the sutures are removed after 21 days. Lipoma excision often results in complete cure. Common risks associated with lipoma excision are hematoma formation, surgical infection, injury to nearby tissues, and deformity due to the incision.
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Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process.
Here are a few things to keep in mind.
- Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
- Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
- Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
- Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
- Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
- Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A cholecystectomy is the process of removing the gallbladder. This is a small pear-shaped organ, which is present just below the liver and on the upper right side of the abdomen. This surgical procedure is performed if there are any gallstones present in the gallbladder. These stones can cause pain or infection in the gallbladder.
Discomfort after a Cholecystectomy:
The gallbladder stores bile, which is produced by the liver. This liquid produced by the liver is helpful in digesting fatty food. When there is any problem with the gallbladder, it is removed and a human being is able to survive without a gallbladder. Once the gallbladder is removed, the bile produced by the liver moves directly to the small intestine. There will not be any kind of problem due to the removal of the gallbladder, but your body will take some time to get adjusted to the changes. Hence, you need to make certain changes to your diet to avoid any kind of discomfort caused after a cholecystectomy.
Tips for avoiding discomfort after a cholecystectomy:
- Start with a liquid diet: Immediately after the surgery, you should consume just liquid food and try to avoid solid food. You should consume clear soups, gelatin and broths. You can slowly add your normal and solid food to the diet.
- Low-Fat food should be preferred: You should make sure that you are not eating high-fat food after a cholecystectomy surgery. Food that has a strong smell, fried food, junk food or any food that can cause gas should be avoided. You should stick to low- fat food and eat small portions. You should read the labels of the food before you buy to make sure that they do not contain more than three grams of fat in a single serving.
- Food that you need to avoid: If you are consuming the wrong food immediately after the surgery it can cause discomfort such as diarrhea or severe pain. So, avoid the following food:
- Add these slowly: You need to avoid gas producing food, but you need to eat certain food for a healthy body. So, you can add these foods to your diet slowly:
- Keep a watch: Whatever you eat and whatever you avoid, you should always keep a watch on any kind of abnormal symptoms and ask the doctor for help immediately. In case you have a concern or query you can always consult an expert & get answers to your questions!