Hemolytic anemia surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
In some cases of extravascular hemolysis, [[splenectomy]] can be helpful. In this case, most of the red blood cells are being destroyed by the spleen, and surgical removal of the spleen can correct the underlying problem. Splenectomy can help the hemoglobin level to return towards baseline. The risks and benefits of splenoectomy should be weighed prior to proceeding with splenectomy. There is a high risk for asplenic sepsis with encapsulated organisms, such as Neisseria, Hemophilius, and Streptococcus.<ref name="pmid26543526">{{cite journal| author=Leone G, Pizzigallo E| title=Bacterial Infections Following Splenectomy for Malignant and Nonmalignant Hematologic Diseases. | journal=Mediterr J Hematol Infect Dis | year= 2015 | volume= 7 | issue= 1 | pages= e2015057 | pmid=26543526 | doi=10.4084/MJHID.2015.057 | pmc=4621170 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26543526 }} </ref> Patients should be vaccinated against these organisms prior to spleen removal. | |||
spleen | |||
==References== | ==References== | ||
Revision as of 06:58, 17 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Surgery
In some cases of extravascular hemolysis, splenectomy can be helpful. In this case, most of the red blood cells are being destroyed by the spleen, and surgical removal of the spleen can correct the underlying problem. Splenectomy can help the hemoglobin level to return towards baseline. The risks and benefits of splenoectomy should be weighed prior to proceeding with splenectomy. There is a high risk for asplenic sepsis with encapsulated organisms, such as Neisseria, Hemophilius, and Streptococcus.[1] Patients should be vaccinated against these organisms prior to spleen removal.
References
- ↑ Leone G, Pizzigallo E (2015). "Bacterial Infections Following Splenectomy for Malignant and Nonmalignant Hematologic Diseases". Mediterr J Hematol Infect Dis. 7 (1): e2015057. doi:10.4084/MJHID.2015.057. PMC 4621170. PMID 26543526.