Surgical Anatomy of the Spleen

Author(s): Andy Petroianu

Pp: 117-133 (17)

DOI: 10.2174/978160805273811101010117

* (Excluding Mailing and Handling)

Abstract

[1-4]: Although known for more than 3,000 years, the spleen continues to be one of the most misunderstood human organs, even from a morphological point of view. Its disregard among the majority of doctors and researchers is responsible for the sparse and discontinued anatomical studies regarding the spleen.

The major consequence resulting from the indifference of the scientific and medical worlds towards this organ has occurred in surgery, considering that spleen operations have progressed during the last twenty years more than throughout the history of Medicine. It is not fair to realize that the dogma that still predominates amongst doctors is that spleen surgery results simply in “through out the spleen!”.

This demonstration of medical ignorance and the lack of professional sensibility trend to be modified by the scientific works of recent decades. Discoveries regarding the functioning of the spleen have aided a number of anatomy specialists in improving their efforts regarding the morphology of the spleen. The foundations of these scientific advances have affected new surgical proposals for this organ and its vascular pedicle. The benefits of new surgical proposals have increased the survival rate among many patients as well as reduced the complications that the “spleen removers” once imposed upon their victims.


Keywords: Anatomy, Spleen, Splenectomy, Morphology, Artery, Vein, Nerve, Lymphatic, Surgery.

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      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Trial Access" as access_base_text, CASE j.type WHEN 111 THEN true ELSE false END as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_trail` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 314520267 and j.to_ip >=314520267 )) and ((j.from_date <= 1740774929 and j.to_date >= 1740774929 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2393) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Subscribed" as access_base_text, false as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_corporate` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 314520267 and j.to_ip >=314520267 )) and ((j.from_date <= 1740774929 and j.to_date >= 1740774929 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2393) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Token Based Access" as access_base_text, false as terms_popup, "R" as content_download_type, j.uc_id as restricted_user_access_key, "v" as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_token` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 314520267 and j.to_ip >=314520267 )) and ((j.from_date <= 1740774929 and j.to_date >= 1740774929 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2393)
      1.04msalphaeurekaselec_live_10_06_2022UserAccess.php#1266
      Backtrace
      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 956 and `b`.`banner_from_date` <= 1740774929 and `b`.`banner_to_date` >= 1740774929 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      1.56msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 956
      • 3: 1740774929
      • 4: 1740774929
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='b095483d9a5c0e8cb21b40012766f44e'
      320μsalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:291
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Keywords
    9Keywords.php#?
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        WIlQktE3ulh5KnfdMlq7Vlrzroak1NA0DxiaY4BC
        uc_cart_id
        b095483d9a5c0e8cb21b40012766f44e
        _previous
        array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2393" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/2393
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
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        request_cookies
        0 of 0
        array:1 [ "wayfindertarget" => null ]
        response_headers
        0 of 0
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        session_attributes
        0 of 0
        array:5 [ "_token" => "WIlQktE3ulh5KnfdMlq7Vlrzroak1NA0DxiaY4BC" "uc_cart_id" => "b095483d9a5c0e8cb21b40012766f44e" "_previous" => array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2393" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-28 20:35:29GET/chapter/23931121911