This episode explores splenic disease in trauma, haematological disorders, and hypersplenism. Listeners are guided through splenic anatomy, immunological function, and the clinical implications of splenic enlargement or rupture.

The discussion balances operative urgency with long-term risk, particularly the immunological consequences of splenectomy. Indications for surgery, non-operative management, and postoperative vaccination strategies are examined in detail.

This chapter teaches that splenic surgery is never isolated — it alters physiology and immunity long after the incision has healed.

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