Idiopathic thrombocytopenia purpura (ITP) is a condition that typically presents with purpura , petechiae, hematoma, nosebleeds, bleeding from the gums, and blood in urine or stool
This depends on age and severity and general conditions of patient and availability of alternative medicines
For acute ITP - management includes Pulse dose of dexamethasone , IVIG, anti -D.
Rituximab ( anti - CD 20)
Splecnectomy is usually a last resort usually in chronic ITP.
Dear Dr Nooralhuda Alfatlawi . See the following useful RG link: Article Splenectomy for Immune Thrombocytopenia: Down but not out
Kindly check also the following useful link: https://www.sciencedirect.com/science/article/pii/S0006497120380745
Also check please the following very good RG link: Article Predictive Factors for Success of Laparoscopic Splenectomy for ITP
Kindly have a look at the following useful RG link: Article A critical appraisal of the evidence for the role of splenec...
In the hands of an experienced and safe laparoscopic surgeon, it is a second line treatment.
An excellent and comprehensive review of the management of ITP, including the place of Laparoscopic Splenectomy in this open access article in the Medical Journal of Australia.
"Consensus guidelines for the management of adult immune thrombocytopenia in Australia and New Zealand"
Philip YI Choi, Eileen Merriman, Ashwini Bennett, Anoop K Enjeti, Chee Wee Tan, Isaac Goncalves, Danny Hsu and Robert Bird
Med J Aust 2022; 216 (1): 43-52
