Discharge Instructions for Open Splenectomy

Your doctor performed an open splenectomy, the surgical removal of your spleen through a single large incision in your abdomen. Located in the upper left portion of your abdomen, your spleen acted as a filter for blood and helped your body fight infection. Here's what you need to do at home following an open splenectomy.

Activity

• Increase your activity gradually. Take short walks on a level surface.

• Don’t overexert yourself to the point of fatigue. If you become tired, rest.

• Limit stair climbing to no more than once or twice a day. Climb steps slowly and stop to rest every few steps.

• Don’t lift anything heavier than 10 pounds or push a vacuum cleaner for 4 to 6 weeks after surgery.

• Don’t drive until after your first doctor’s appointment after your surgery.

• If you ride in a car for more than short trips, stop frequently to stretch your legs.

• Ask your doctor about when you can expect to return to work.

Preventing Infection

• Remember, you have a higher risk of infection because you don’t have a spleen.

• Talk to your doctor about vaccines because you will be more prone to infection after the surgery.

• Get medical attention even for mild illnesses such as sinus problems or colds.

• Take antibiotic medication after surgery as directed by your doctor.

• Be sure to tell all your healthcare providers (dentist, primary care doctor, nurse practitioner, etc.) that you don’t have a spleen.

• Consider getting a medical alert ID bracelet that says you don’t have a spleen.

Other Home Care

• Shower as needed. Ask a friend or family member to stand close by in case you need help.

• Wash your incision site with soap and water and pat dry.

• Check your incision every day for redness, drainage, swelling, or separation of the skin.

• Take your medications exactly as directed. Don’t skip doses.

• Don’t take any over-the-counter medication unless your doctor tells you to do so.

• Check your temperature each day for 1 week after your surgery.

• Return to your regular diet as tolerated. Eat a healthy, well-balanced diet.

Follow-Up

Make a follow-up appointment as directed by our staff.