<prompt> A patient with ITP is being planned for splenectomy. What is the best time for platelet infusion in this patient?2 hours before surgeryAt the time of skin incisionAfter ligating the splenic arteryImmediately after removal of spleen  <response>: Ans. c After ligating the splenic arterySalient points in Splenectomy for ITP: MC indication for elective splenectomy Indications- failure to respond to medical therapy, Side effects of steroids and after first relapse. Splenectomy provides a permanent response in 80 cases Gold standard - Laparoscopic splenectomy Responses occur in 1 week after surgery Platelets are ready if count is less than 10000mm3 and transfusion must be done immediately after Splenic artery ligation. Dont miss spleneculis during surgery- then there will be recurrence 