Hematological changes following early ligation of splenic artery during splenectomy in shunt surgery for portal hypertension.

Objective And Background Data: Reduction in cellular elements of blood, secondary to hypersplenism is an established component of non-cirrhotic portal hypertension. Prior transfusion of blood or blood components is frequently required for safe surgical intervention. Due to thrombocytopenia, epidural catheter insertion for effective and durable analgesia is not possible.