Indications for Splenectomy

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Abstract
Hypersplenism, portal hypertension and traumatic rupture are the most common of the many indications for splenectomy. Confirmation of the diagnosis of hypersplenism by a competent hematologist is essential to insure good results. The indications for splenectomy, the preoperative, operative and postoperative problems, and special considerations in a series of 748 cases are presented. With proper preoperative diagnosis and preparation, elective removal of the spleen may be performed with low mortality and morbidity and without late ill effects.