Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

CT and MRI activity in England: insights from the diagnostic imaging dataset.

Clinical radiology·2025

Same author

Anaesthesia for caesarean delivery in women with class 3 obesity: a retrospective cohort study from the north-west of England (2022-2023).

International journal of obstetric anesthesia·2025

Same author

Exploring the experiences of people with urogynaecology conditions in the UK: a reflexive thematic analysis and conceptual model.

BMC women's health·2023

Same author

Stakeholder Engagement in the Development of Public Health Economic Models: An Application to Modelling of Minimum Unit Pricing of Alcohol in South Africa.

Applied health economics and health policy·2023

Same author

Clinician perspectives on having point of care tests made available to them during out of hours home visiting.

BMC family practice·2021

Same author

Female Urgency, Trial of Urodynamics as Routine Evaluation (FUTURE study): a superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive bladder symptoms.

Trials·2021

Same journal

A prospective randomised controlled trial comparing open and laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis in a low-middle-income country setting.

Annals of the Royal College of Surgeons of England·2026

Same journal

Designing sustainable robotic surgery for NHS scale-up: direct electricity measurement and an implementation-ready energy mitigation bundle in colorectal cancer resections.

Annals of the Royal College of Surgeons of England·2026

Same journal

Trends and causes of litigation in paediatric surgery within the National Health Service (NHS) England: a 19-year analysis.

Annals of the Royal College of Surgeons of England·2026

Same journal

Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit.

Annals of the Royal College of Surgeons of England·2026

Same journal

The incidence of complex regional pain syndrome following total knee arthroplasty: a prospective multicentre observational study of 1,026 patients with no cases identified according to the Budapest criteria.

Annals of the Royal College of Surgeons of England·2026

Same journal

Can a generic fracture fixation assessment tool be used to assess quality of distal radius fracture fixation, and predict fixation failure?

Annals of the Royal College of Surgeons of England·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jan 31, 2026

A Noninvasive Hair Sampling Technique to Obtain High Quality DNA from Elusive Small Mammals

A Noninvasive Hair Sampling Technique to Obtain High Quality DNA from Elusive Small Mammals

Published on: March 13, 2011

The elusive spleen.

S Dixon¹, L F Horgan²

¹Health Education England - North East , UK.

Annals of the Royal College of Surgeons of England

|January 4, 2019

Summary

This summary is machine-generated.

Splenectomy is becoming increasingly rare in district general hospitals, leading to limited surgeon experience. This study reviews outcomes and explores reasons for the declining frequency of this surgical procedure.

Keywords:

General surgery Iatrogenic injury Splenectomy Splenic trauma Surgical training

More Related Videos

Author Spotlight: Utilization of Decellularized Spleen Matrix for Bioartificial Livers

Author Spotlight: Utilization of Decellularized Spleen Matrix for Bioartificial Livers

Published on: February 9, 2024

A Mouse Model of Vascularized Heterotopic Spleen Transplantation for Studying Spleen Cell Biology and Transplant Immunity

A Mouse Model of Vascularized Heterotopic Spleen Transplantation for Studying Spleen Cell Biology and Transplant Immunity

Published on: June 11, 2019

Related Experiment Videos

Last Updated: Jan 31, 2026

A Noninvasive Hair Sampling Technique to Obtain High Quality DNA from Elusive Small Mammals

A Noninvasive Hair Sampling Technique to Obtain High Quality DNA from Elusive Small Mammals

Published on: March 13, 2011

Author Spotlight: Utilization of Decellularized Spleen Matrix for Bioartificial Livers

Author Spotlight: Utilization of Decellularized Spleen Matrix for Bioartificial Livers

Published on: February 9, 2024

A Mouse Model of Vascularized Heterotopic Spleen Transplantation for Studying Spleen Cell Biology and Transplant Immunity

A Mouse Model of Vascularized Heterotopic Spleen Transplantation for Studying Spleen Cell Biology and Transplant Immunity

Published on: June 11, 2019

Area of Science:

Surgery
Gastroenterology
Hematology

Background:

Splenectomy is a surgical procedure to remove the spleen.
The frequency of splenectomy has been declining in recent years.
District general hospitals face challenges in maintaining surgical expertise for rare procedures.

Purpose of the Study:

To review the experience of general surgeons performing splenectomy in a district general hospital.
To discuss the outcomes of splenectomy.
To identify potential reasons for the decreasing incidence of splenectomy.

Main Methods:

Retrospective cohort study.
Data collected from 1 January 2000 to 1 May 2017.
Included patient demographics, diagnosis, surgical approach, critical care admission, and 30-day mortality.

Main Results:

170 splenectomies were performed by 24 surgeons over 17 years.
Average of 5.8 planned and 4.2 unplanned splenectomies per year.
30-day mortality rate was 8.8% overall, 2.0% for elective cases. Few surgeons had significant experience.

Conclusions:

Splenectomy is increasingly rare, limiting consultant experience in district general hospitals.
Reasons include improved medical/radiological management and trauma center diversion.
Trainees and consultants need structured training to maintain competence.