A 9-year-old boy is admitted to the emergency department (ED)after a sledding accident in which he lost control of his sled and crashed into a tree.He is pale and in pain; his abdomen is tender and firm to palpation.The computed tomography (CT)scan suggests rupture of the spleen with internal bleeding.The scheduled surgery will most probably be a(n):

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Splenectomy is removal of the spleen.It is performed for multiple reasons,including trauma to the spleen.For these patients,an open approach is indicated.If splenectomy is required due to trauma and there is massive hemorrhage,a surgical-crisis checklist may be implemented; Arriaga (2013)found checklist use was associated with significant improvement in managing OR emergencies.

A 9-Year-Old Boy Is Admitted to the Emergency Department (ED)after