HAEMATOLOGICAL / SPLENIC CONDITION · CONDITION GUIDE
Enlarged Spleen
Laparoscopic splenectomy for enlarged or diseased spleen — safely removing the spleen to treat haematological disorders, hypersplenism, trauma, and splenic tumours.
ABOUT THIS CONDITION
What is Enlarged Spleen?
Splenomegaly (enlarged spleen) occurs in a range of haematological, infective, and infiltrative conditions. When the spleen causes symptomatic hypersplenism, haemolytic anaemia, thrombocytopenia, mechanical compression, or when splenic rupture or tumour is present, splenectomy is required. Dr. Grandhi performs laparoscopic splenectomy for enlarged spleen and associated conditions at specialist facilities in Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Haematological conditions — ITP, hereditary spherocytosis, haemolytic anaemia
- Lymphoma and leukaemia infiltrating the spleen
- Portal hypertension from liver cirrhosis causing congestive splenomegaly
- Infective causes — malaria, visceral leishmaniasis, infectious mononucleosis
- Storage disorders — Gaucher’s disease causing progressive splenic enlargement
- Splenic cysts, abscesses, or benign tumours
CLINICAL DETAILS
KeyFacts
Laparoscopic splenectomy — even for massive splenomegaly
Given 2 weeks before surgery — pneumococcal, meningococcal, Hib
Return to full activity in 3–4 weeks
Lifelong vaccinations and prophylactic antibiotics
Port may be used for very large spleens
Available at specialist facilities, Hyderabad
HOW WE TREAT IT
Treatment Approach
Pre-operative Vaccination
Patients undergoing splenectomy are at increased lifelong risk of overwhelming infection from encapsulated organisms. Dr. Grandhi ensures all elective patients receive vaccination against pneumococcus, meningococcus, and Haemophilus influenzae at least 2 weeks before surgery, and arranges long-term antibiotic prophylaxis post-operatively.
- 1
Pre-operative Vaccination
Vaccination against encapsulated organisms (pneumococcus, meningococcus, Haemophilus influenzae type b) is administered at least 2 weeks before elective splenectomy.
- 2
Anaesthesia
General anaesthesia is administered with appropriate positioning for laparoscopic splenic access.
- 3
Laparoscopic Access & Vascular Control
Keyhole incisions provide access. The splenic artery and vein are controlled at the splenic hilum before the spleen is freed from its peritoneal attachments. A hand-assist port may be used for very large spleens.
- 4
Splenic Retrieval & Post-operative Prophylaxis
The spleen is placed in a retrieval bag, morcellated, and removed through a port site. Post-splenectomy prophylactic antibiotics are commenced and continued long-term.
AVAILABLE TREATMENTS
TreatmentOptions
View All Treatments ↓COMMON QUESTIONS
Frequently Asked Questions
Not sure about your condition?
Compassionate, confidential consultations — Book your appointment today.