A splenectomy or partial gastrectomy may also be required. The majority of splenosis implants are found after splenic injury by trauma or after splenectomy. Treatment for juvenile myelomonocytic leukemia can include splenectomy, chemotherapy, and bone marrow transplantation. It is indicated in those with impaired immunity, such as nephrotic syndrome or splenectomy. This is typically done using medications, but may involve surgery (splenectomy), plasmapheresis, or radiation. Patients with thalassemia major are more inclined to have a splenectomy. This abscess develops after surgical operations like splenectomy. Neutrophilia can also be caused by appendicitis and splenectomy. In limited cases, the person may benefit from "splenectomy" (removal of the spleen). An increase in blood leukocytes can occur following a splenectomy. Durable remission following splenectomy is achieved in 60 - 80 percent of ITP cases. His arm was broken and he suffered several internal injuries; he eventually underwent a splenectomy. After splenectomy, however, patients have an increased risk for infectious diseases. Steroids and splenectomy are less efficacious in cold agglutinin disease. Iron rich patients need a splenectomy to reduce the probability of an iron overload.