Make me pdf on splenectomy for PG exam based on standard textbooks
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Splenectomy PG Exam
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Here's what the document covers, compiled from Bailey & Love 28e, Schwartz's 11e, Current Surgical Therapy 14e, Fischer's Mastery 8e, Goldman-Cecil, Sabiston, and Harrison's 22e:
| Section | Content |
|---|---|
| 1. Anatomy & Embryology | Embryological origin, dimensions, all 5 suspensory ligaments + contents, vascular supply, accessory spleen locations with frequencies |
| 2. Physiology | 5 splenic functions; post-splenectomy blood film changes (Howell-Jolly, Heinz, target cells, thrombocytosis) |
| 3. Indications | ITP, Hereditary Spherocytosis, AIHA, thalassaemia, sickle cell; haematological malignancies table; AAST trauma grading (I–V) with management; oncological; miscellaneous (12 conditions with expected responses) |
| 4. Pre-op Preparation | Vaccination protocol (pneumococcal, Hib, meningococcal, timing); haematological optimisation; DVT prophylaxis; pre-op SAE |
| 5. Surgical Technique | Open (elective medial-to-lateral vs. trauma lateral-to-medial); laparoscopic (gold standard, port placement, steps); hand-assisted, SILS, robotic, partial splenectomy |
| 6. Complications | Intraoperative, immediate, and late; OPSI (mortality 50–80%, organisms, treatment) in a highlighted callout |
| 7. Post-op Care | Antibiotic prophylaxis (Pen V), patient education, haematological monitoring |
| 8. Splenomegaly | Massive vs. moderate vs. mild causes; hypersplenism definition |
| 9. High-yield Exam Summary | 22-point rapid-reference table |
| 10. Mnemonics | "SPLENIC" for functions; "OPSI" recall; ligament contents callout |
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