Preoperative Investigation and Preparation

■ Imaging studies to estimate the size of the spleen or extent of splenic injury and other abdominal injuries in trauma cases

■ Interpretation of bone marrow biopsy, peripheral blood smear, and ferrokinetics in coordination with a hematologist

■ Discontinue anticoagulants (such as aspirin, warfarin, clopidogrel and vitamin E)

■ Patients routinely given polyvalent pneumococcal vaccine, Haemophilus influenzae b conjugate vaccines and meningococcal vaccines on the same day at least 10-14days prior to splenectomy (given postoperatively in trauma cases)

■ Prophylactic antibiotics (cefazolin or cefotetan)

■ Perioperative DVT prophylaxis

■ Perioperative steroids should be administered to patients on long-term steroid therapy

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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