Emergency splenectomy

In this video, we will recap the different methods to performing a splenectomy. An approach to the cranial abdomen is made to identify the spleen. At this point, hilar vessels entering the spleen are ligated, requiring numerous sutures. This process can be accelerated by using a smart bipolar vessel ligating and sealing device, beginning at the tail and moving towards the head of the spleen.
Alternatively, in an emergency (and when confident with the technique), a rapid splenectomy technique can be utilised, requiring fewer ligatures. To do this, the omental bursa must be opened, and the following arteries identified and ligated: the splenic artery (after it has past the pancreas), the left gastroepiploic artery, and the short gastric arteries.