Welcome to The SAGES Surgical WIKI

SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.

As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:

  • It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
  • If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
  • Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.

Recommended Wiki: Laparoscopic Partial Splenectomy

The primary immunologic function of the spleen is to clear pathogens and antigens. However, there has been a presumed lack of essential function of the spleen that has led to the spleen being removed completely when indicated. The risk of lifetime post-splenectomy overwhelming sepsis is around 4.25%, with a mortality approaching 60%. Indications The indications for partial splenectomy include diagnostic partial splenectomy for idiopathic splenomegaly, splenic cysts, benign tumors, metastases, splenic infarct, iatrogenic injury to the spleen, and the hematologic disorder hereditary spherocytosis. Hereditary spherocytosis, an autosomal dominant inherited hemolytic disorder may be particularly relevant with children who are less than 4 years old, who may be at risk for overwhelming postsplenectomy infection (OPSI), but for whom partial splenectomy may reduce hemolytic complications such as anemia, gallstones, and exercise intolerance while preserving splenic function. Children may also be at additional risk of pulmonary hypertension after splenectomy and fulminant sepsis from… Continue Reading »