What is Splenectomy for ITP and other indications?
Splenectomy is the surgical removal of the spleen, commonly performed for Immune Thrombocytopenic Purpura (ITP) and other hematological, infectious, and traumatic conditions. The spleen plays a key role in filtering blood and immune function, but in certain diseases, its removal can be beneficial.

Symptoms of Indicating the Need for Splenectomy
Persistent low platelet count with bleeding tendencies
Enlarged spleen causing abdominal discomfort
Recurrent infections due to splenic dysfunction
Anemia, fatigue, and jaundice due to excessive red blood cell destruction
Uncontrolled internal bleeding from trauma
Diagnosis
Dr. Vikram Lotwala utilizes advanced diagnostic tools to evaluate the necessity of a splenectomy:
Complete Blood Count (CBC) – To assess platelet, red blood cell, and white blood cell levels.
Ultrasound & CT Scan – Imaging to determine spleen size, cysts, or abnormal growths.
Bone Marrow Tests – To rule out other hematological disorders.
Immune Testing – To confirm autoimmune causes of platelet destruction.
Treatment Options
Surgical Approach
Laparoscopic Splenectomy – A minimally invasive procedure with faster recovery and fewer complications.
Open Splenectomy – Required for larger spleens or complex cases.
Pre & Post-Surgical Considerations
Vaccination – Preoperative vaccines against pneumococcus, meningococcus, and Haemophilus influenzae to prevent infections.
Antibiotic Prophylaxis – To reduce post-surgical infection risk.
Long-Term Monitoring – Lifelong follow-up for immune function and infection prevention.
Why Choose Dr. Vikram Lotwala?
Dr. Vikram Lotwala is a highly experienced surgeon specializing in splenectomy procedures. With a patient-centered approach, he ensures the safest and most effective surgical outcomes tailored to individual needs.
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If you or a loved one requires a splenectomy for ITP or other conditions, contact Dr. Vikram Lotwala for expert evaluation and treatment.