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Laparoscopic spleen removal in adults - discharge

Splenectomy - microscopic - discharge; Laparoscopic splenectomy - discharge

You had surgery to remove your spleen. This operation is called splenectomy. Now that you're going home, follow your health care provider's instructions on how to care for yourself while you heal.

When You're in the Hospital

The type of surgery you had is called laparoscopic splenectomy. The surgeon made 3 to 4 small cuts (incisions) in your belly. The laparoscope and other medical instruments were inserted through these cuts. A harmless gas was pumped into your belly to expand the area to help your surgeon see better.

What to Expect at Home

Recovering from surgery usually takes several weeks. You may have some of these symptoms as you recover:

Activity

Make sure your home is safe as you are recovering. For example, remove throw rugs to prevent tripping and falling. Be sure that you can use your shower or bathtub safely. Have someone stay with you for a few days until you can get around better on your own.

Start walking soon after surgery. Begin your everyday activities as soon as you feel up to it. Move around the house, shower, and use the stairs at home during the first week. If it hurts when you do something, stop doing that activity.

You may be able to drive after 7 to 10 days if you are not taking narcotic pain medicines. Do not do any heavy lifting or straining for the first 1 to 2 weeks after surgery. If you lift or strain and feel any pain or pulling on the incisions, avoid that activity.

You may be able to go back to a desk job within a few weeks. It can take up to 6 to 8 weeks to get your normal energy level back.

Managing Pain

Your doctor will prescribe pain medicines for you to use at home. If you are taking pain pills 3 or 4 times a day, try taking them at the same times each day for 3 to 4 days. They may work better this way. Ask your surgeon about taking acetaminophen (Tylenol) or ibuprofen for pain instead of narcotic pain medicine.

Try getting up and moving around if you are having some pain in your belly. This may ease your pain.

Press a pillow over your incision when you cough or sneeze to ease discomfort and protect your incision.

Wound Care

If stitches, staples, or glue were used to close your skin, you may remove any dressings (bandages) and take a shower the day after surgery.

If strips of tape were used to close your skin, cover the incisions with plastic wrap before showering for the first week. Do not try to wash the tape off. They will fall off in about a week.

Do not soak in a bathtub or hot tub or go swimming until your surgeon tells you it is OK (usually 1 week).

Preventing Infections

Most people live a normal active life without a spleen. But there is always a risk of getting an infection. This is because the spleen is part of the body's immune system, helping fight infections.

After your spleen is removed, you will be more likely to get infections:

Keeping up to date on your immunizations will be very important. Ask your doctor if you should have these vaccines:

Things you can do to help prevent infections:

When to Call the Doctor

Call your provider if you have any of the following:

Related Information

Spleen removal
Surgical wound care - open

References

Liveris A, Muscarella P. Management of cysts, tumors, and abscesses of the spleen. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:612-616.

Nassar AK, Hawn M. The spleen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 57.

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Review Date: 3/15/2021  

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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