Matthew Ryan,a 9-year-old boy,is admitted to the emergency department for a sledding accident,when 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 CT scan suggests rupture of the spleen with internal bleeding.Matthew's 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.Contraindications to laparoscopic splenectomy include severe portal hypertension,uncorrectable coagulopathy,severe ascites,extreme splenomegaly,extensive adhesions,and most traumatic injuries to the spleen.For these patients,an open approach is indicated.

Matthew Ryan,a 9-Year-Old Boy,is Admitted to the Emergency Department for a Sledding