Trauma with rupture of the spleen: the chance of regeneration

Located in the thoraco-abdominal position, on the left, below the ribs, the spleen has entered the popular perception as part of the digestive system. However, this is not the case. It plays an important role in immunity and in the process of regenerating blood cells.

The spleen is an organ that has no role in the digestive system, it has the mission to act in the hematological circuit, in the blood system. It is a kind of cemetery for red blood cells: when they die, they reach the spleen, which then launches them into the bloodstream to be eliminated.

It can be said to be a kind of garbage dump for the blood system. The spleen also has a mission, helping the action of platelets, those cells that ensure blood clotting.

The spleen is sometimes attacked by a series of accidents, injuries. The era is suffering. If the lesions have not reached the blood vessels, no surgery is performed, drug resolution of the damage is preferred. If the accidental aggression also affected the vessels, but the large vessels did not have significant damage, the surgeons repaired these ruptures of the organ. But there can also be major trauma, which severely damages the spleen and affects important blood vessels: then the spleen must be removed, because it no longer works. However, something needs to be done, because the body needs the activity of the spleen, we have shown that it cleanses the bloodstream. Therefore, after extracting the severely damaged spleen, the surgeon chooses the portions with smaller damage and cuts the removed spleen into smaller portions. They are reimplanted in place of the extracted organ and they regenerate it in part, so that they can fulfill their role.

When the man has pain in the left side of the upper abdomen, he blames the spleen: “My spleen hurts!”. It is a misinterpretation. It is not the spleen that hurts, but the colon, in the part where the horizontal branch makes a right angle and descends through the descending colon, towards the rectum. In this right angle made by the colon, gas accumulates, and this bag of gas is more difficult to eliminate and causes pain.


Source: Jurnalul.ro by jurnalul.ro.

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