Hemolytic anemia surgery: Difference between revisions

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Revision as of 06:59, 17 October 2017

Hemolytic anemia Microchapters

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Overview

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Pathophysiology

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Differentiating Hemolytic anemia from other Diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2]

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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

  1. 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.

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