The surgeon's index finger is placed inside the bag and through the port wound, to break the spleen into pieces. This is done bimanually with the left hand pushing against the abdominal wall, and the right index finger pushing the spleen against the abdominal wall. Blood released from the broken spleen is then aspirated and an empty sponge holding forceps is used to remove the spleen in pieces. The surgeon must be careful to avoid spillage of splenic material into the abdominal cavity, which can occur if the specimen bag is broken. An alternative method for spleen removal is to remove the spleen intact through a muscle-splitting abdominal incision, usually in the left lower quadrant.
Was this article helpful?
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.