Splenectomy
Laparoscopic or open surgical removal of the spleen — for ITP, haemolytic anaemia, trauma, and splenic tumours.
What is Splenectomy?
Splenectomy is the surgical removal of the spleen. Indications include immune thrombocytopenia (ITP) refractory to medical therapy, hereditary haemolytic anaemias (spherocytosis), splenic trauma, lymphoma involving the spleen, and splenic artery aneurysm. Laparoscopic splenectomy is preferred for most elective cases.
Dr. Tagore Mohan Grandhi performs laparoscopic splenectomy through 4–5 keyhole incisions. Pre-operative vaccination against encapsulated bacteria (pneumococcal, meningococcal, Hib) — administered at least 2 weeks before surgery — is mandatory. Lifelong oral penicillin prophylaxis is commenced on discharge.
Suitable for patients with immune thrombocytopenia (ITP), hereditary haemolytic anaemia, splenic trauma, lymphoma or haematological malignancy involving the spleen, or splenic artery aneurysm.
How the Procedure Works
Pre-operative Vaccination
Mandatory pneumococcal, meningococcal, and Hib vaccinations given at least 2 weeks before surgery.
Laparoscopic Access
4–5 keyhole incisions. Patient positioned right lateral decubitus to bring spleen into optimal operative field under gravity.
Splenic Hilar Dissection
Gastrosplenic and splenorenal ligaments divided. Splenic artery and vein ligated and divided at the hilum.
Splenic Mobilisation
Spleen fully freed from all ligamentous attachments. Placed in retrieval bag.
Extraction and Prophylaxis
Bag extracted through small extension of largest port incision. Oral penicillin commenced on discharge.
Outcomes
Who Needs This Treatment?
- →Laparoscopic approach — 4–5 small incisions versus large open incision
- →2–3 day hospital stay versus 5–7 days for open splenectomy
- →Return to full activity in 3 weeks versus 6–8 weeks after open surgery
- →Equivalent haematological outcomes to open splenectomy for ITP and anaemia
Laparoscopic splenectomy consistently delivers excellent haematological results with 3 weeks to full recovery. The mandatory vaccinations and lifelong antibiotic prophylaxis are essential — we ensure every patient is fully protected before and after surgery.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Open Splenectomy Cost for Enlarged Spleen in Hyderabad
The cost of Open Splenectomy for Enlarged Spleen in Hyderabad depends on factors such as the cause and severity of splenomegaly, surgical complexity, pre-operative evaluation, hospital stay, and post-operative care requirements.
For patients with massive splenomegaly or spleen-related conditions requiring open surgery, the approximate cost of Open Splenectomy ranges between ₹1,50,000 and ₹2,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Open Splenectomy | ₹1,50,000 – ₹2,80,000 |
The final cost may vary depending on your individual condition, reason for surgery, surgical findings, hospital care, and additional medical requirements.
Factors That Influence Open Splenectomy Cost
The overall cost may depend on:
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Cause and severity of splenomegaly: The underlying condition causing spleen enlargement, size of the spleen, and associated complications can influence treatment planning.
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Pre-operative evaluation: Blood tests, imaging, medical assessments, and evaluation of associated conditions may contribute to the overall cost.
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Surgical complexity: The size of the spleen, anaesthesia requirements, hospital stay, and post-operative monitoring can affect the final estimate.
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Vaccination and follow-up care: Patients undergoing splenectomy may require recommended vaccinations and long-term preventive care planning, which may involve additional costs.
Is Open Splenectomy Covered by Insurance?
Open Splenectomy performed for a medically necessary condition may be covered by health insurance. Coverage depends on your insurance policy, inclusions, and insurer approval process.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your symptoms, medical history, imaging findings, and blood reports to determine whether Open Splenectomy is suitable for your condition. He will explain the procedure, expected outcomes, recovery process, and provide an estimated cost based on your individual treatment requirements.
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