This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Spleen, Subject name: Surgery
[{'content': 'A patient with ITP is being planned for splenectomy. What is the best time for platelet infusion in this patient? \nSelect and explain. \nA. 2 hours before surgery, B. At the time of skin incision, C. After ligating the splenic artery, D. Immediately after removal of spleen', 'role': 'user'}, {'content': "Answer: C \nExplanation: 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 10000/mm3 and transfusion must be done immediately after Splenic artery ligation.* Don't miss spleneculi's during surgery- then there will be recurrence", 'role': 'assistant'}]