What is included in postoperative care for splenic infarct?

Updated: Jul 27, 2020
  • Author: Manish Parikh, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Following splenectomy or global infarct, administer pneumococcal vaccine and vaccine against Haemophilus (if not given preoperatively).

Postoperative thrombocytosis occurs frequently. Antiplatelet therapy is initiated for platelet counts higher than 1,000,000/μL. However, antiplatelet therapy is controversial in this circumstance, and its benefit has not been demonstrated with a randomized, prospective, controlled trial.

The authors' current preferences for DVT prophylaxis are the use of sequential compression devices prior to incision and the postoperative employment of early ambulation and subcutaneous heparin.

Postoperative pain management may include IV patient-controlled analgesia and possible epidural analgesia for cases requiring laparotomy.


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