A patient with ITP is being planned for splenectomy. What is the best time for platelet infusion in this patient?
Correct Answer: After ligating the splenic artery
Description: 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
Category:
Surgery
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