Question

Which of the following may be needed during an emergency splenectomy that may not be required during a routine splenectomy?

A. CUSA
B. Sarot clamp
C. vascular sets
D. ligating clip appliers

Answer 1

During an emergency splenectomy, a Cavitron Ultrasonic Surgical Aspirator (CUSA) may be required to rapidly control bleeding and minimize damage to surrounding tissue, which is not typically necessary in a routine splenectomy.

Step-by-step explanation:

In the context of an emergency splenectomy, which is the surgical removal of a damaged or diseased spleen, certain instruments may be needed that are not typically required in a routine, planned splenectomy. In an emergency procedure, the primary concern is to rapidly control bleeding and prevent the patient from going into shock. Therefore, the instrument that may be needed in an emergency splenectomy that might not be necessary during a routine splenectomy is CUSA (Cavitron Ultrasonic Surgical Aspirator). The CUSA is particularly helpful in carefully dissecting tissue while preserving critical structures such as blood vessels, which is crucial in an emergency scenario where the spleen is ruptured or bleeding excessively. In contrast, items such as the Sarot clamp, vascular sets, and ligating clip appliers are commonly used in both emergency and routine splenectomies for the purposes of ligating vessels and controlling bleeding.