Spleen Surgery — Comprehensive Treatise on Anatomy, Pathology and Surgical Techniques

Surgery · Clinical Specialties

How it begins

Un compendio analítico avanzado centrado en la microanatomía esplénica, la preservación tisular en el paciente politraumatizado, las indicaciones hematológicas de esplenectomía, la prevención de la fístula pancreática y el síndrome infeccioso fulminante (OPSI).

What it covers

1. Pathophysiology, Complex Trauma and Cutting-Edge Surgical Approaches to the Spleen
2. Surgical and Three-Dimensional Anatomy of the Spleen Embryological Development, Pulp Histology and Neighborhood Ligaments
3. · Embryology and Functional Histology
4. · Splenic Ligaments and their Relevance in Surgical Mobilization
5. Vascularization and Anatomy of the Splenic Hilum Splenic Artery and Vein, Pedicle Variants and Short Vessels
6. · Branches of the Splenic Artery
7. · The Splenic Vein and the Portosplenic Confluence
8. · Anatomical Variability of the Hilum: Scattered Pedicle vs. Compact
9. · Pathophysiology of Iatrogenic Pancreatic Fistula
10. · Accessories Spleens (Splenuncles)
11. · Critical Hematological Implication of Splenuncles
12. Splenic Physiology and Implications of Splenectomy Filtration, Opsonization, Pitting and Culling of the Red Pulp
13. · Hematological Functions: Culling and Pitting
14. · Immune Function: Opsonization of Encapsulated Bacteria
15. Post-Splenectomy Analytical Changes Howell-Jolly Bodies, Reactive Thrombocytosis and Peripheral Smear
16. · 1. Changes in the Red Line (Blood Smear)
17. · 2. Reactive Thrombocytosis (Post-Splenectomy)
18. · 3. Reactive Leukocytosis
19. Hematological Indications for Splenectomy Immune Thrombocytopenic Purpura (ITP) and Hereditary Spherocytosis
20. · 1. Immune Thrombocytopenic Purpura (ITP)
21. · 2. Hereditary Spherocytosis (Minkowski-Chauffard Anemia)
22. Cystic and Tumor Lesions of the Spleen Hydatid Splenic Cysts, Hemangiomas and Angiosarcoma
23. · Splenic Cysts: Parasitic vs. Non-parasitic
24. · Solid Splenic Tumors
25. Splenic Abscesses and Segmental Portal Hypertension The Splenic Sepsis Triad and Splenic Vein Thrombosis
26. · Splenic Abscess
27. · Left Portal or Segmental Hypertension
28. Pathophysiology of Splenic Trauma Mechanisms of Injury, Deceleration and Rib Fractures
29. · Mechanisms of Injury to the Capsule and Parenchyma
30. · Selection Criteria for Non-Operational Management (MNO)
31. Splenic Angioembolization and Control Techniques Proximal Embolization vs. Distal and Preservation Methods
32. · Indications for Splenic Angioembolization
33. · Embolization Technique: Proximal vs. Distal
34. · Preservative Surgical Treatment: Splenorrhaphy and Wrap
35. · Pathophysiology of Septic Susceptibility
36. · Strict Vaccination Protocol (International Consensus)
37. · Expert Level Systematic Vaccination Scheme
38. Surgical Technique of Open Splenectomy Kocher Subcostal Incision, Ligament Dissection and Hilar Ligation
39. · Patient Position and Surgical Incision
40. · Step-by-Step Surgical Steps (open splenectomy)
41. Laparoscopic Splenectomy (the) Hanging Spleen, Access Ports, Vascular Staplers and Morcellation
42. · Patient Position: The "Hanging Spleen" Approach (Semilateral)
43. · Distribution of Laparoscopy Trocars
44. · Laparoscopic Dissection from Lateral to Medial
45. · Morcelation and Bag Extraction
46. Robotic Splenectomy and Partial Splenectomy Advantages of the da Vinci System, Stapling and Partial Splenectomy
47. · Robotic Splenectomy
48. · Partial Splenectomy (Subtotal)
49. Postoperative Complications and Their Management Stump Hemorrhage, Pancreatic Fistula and Portosplenic Thrombosis
50. · 1. Postoperative Hemorrhage
51. · 2. Postoperative Pancreatic Fistula (PPF)
52. · 3. Thrombosis of the Splenic Vein and Portomeenteric Axis