Surgery: Hairy cell leukemia — Splenectomy. Treatment
Upon hairy cell leukemia, the abnormal leukocytes accumulate in spleen, resulting in its enlargement. This condition is accompanied by pain and feeling of heaviness in the left upper quadrant. In the worst case, the patient may suffer the organ rupture. In order to alleviate the suffering and prevent the complications, some patients are prescribed splenectomy (spleen removal).
Preparation for surgery included:
- hematologist’s advice,
- laboratory tests (complete blood count, blood chemistry etc.)
- chest radiography and echocardiography (ECG).
On the eve of surgery, the patient talks to a surgeon who explains the nature and risks of splenectomy in detail.
For patients with leukemia, the spleen is usually removed by open pit. To do this, an epigastric incision 7 to 10 cm long is made. The surgeon then cuts off the diseased organ from the surrounding healthy tissues and removes it from the abdomen. The wound is cleaned and sutured. The surgical bandage is imposed on top. All manipulations are carried out under general anesthesia.
After surgery, the patient is delivered to the ward where the nurses provide him/her with appropriate care. To treat pain, the physician prescribes analgesic drugs. When a patient feels good, s/he is discharged on day 8 after check-up examination by the surgeon and receipt of required recommendations.Hide