Hereditary spherocytosis surgery: Difference between revisions
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=== Splenectomy: === | === Splenectomy: === | ||
* Generally, the treatment of HS involves presplenectomy care, splenectomy, and management of postsplenectomy complications. | |||
* Generally, the treatment of HS involves presplenectomy care, splenectomy, and management of postsplenectomy complications. In pediatric cases, splenectomy ideally should not be performed until a child is older than 6 years because of the increased incidence of postsplenectomy infections with encapsulated organisms such as ''S pneumoniae'' and ''H influenzae'' in young children. Partial splenectomies are increasingly used in pediatric patients, as this approach appears to both control hemolysis and preserve splenic function. European guidelines on splenectomy for HS note that a laparoscopic approach is currently considered the gold standard for removal of a normal-sized or slightly enlarged spleen and is preferred to open splenectomy, but it should be performed only by experienced surgeons. In children undergoing splenectomy, the gallbladder should be removed concomitantly if the patient has symptomatic gallstones . | * In pediatric cases, splenectomy ideally should not be performed until a child is older than 6 years because of the increased incidence of postsplenectomy infections with encapsulated organisms such as ''S pneumoniae'' and ''H influenzae'' in young children. | ||
* Partial splenectomies are increasingly used in pediatric patients, as this approach appears to both control hemolysis and preserve splenic function. | |||
* European guidelines on splenectomy for HS note that a laparoscopic approach is currently considered the gold standard for removal of a normal-sized or slightly enlarged spleen and is preferred to open splenectomy, but it should be performed only by experienced surgeons. | |||
* In children undergoing splenectomy, the gallbladder should be removed concomitantly if the patient has symptomatic gallstones . | |||
==References== | ==References== | ||
Revision as of 11:42, 27 July 2018
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Hereditary spherocytosis Microchapters |
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Differentiating Hereditary spherocytosis from other Diseases |
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Hereditary spherocytosis surgery On the Web |
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Overview
Surgery
Splenectomy:
- Generally, the treatment of HS involves presplenectomy care, splenectomy, and management of postsplenectomy complications.
- In pediatric cases, splenectomy ideally should not be performed until a child is older than 6 years because of the increased incidence of postsplenectomy infections with encapsulated organisms such as S pneumoniae and H influenzae in young children.
- Partial splenectomies are increasingly used in pediatric patients, as this approach appears to both control hemolysis and preserve splenic function.
- European guidelines on splenectomy for HS note that a laparoscopic approach is currently considered the gold standard for removal of a normal-sized or slightly enlarged spleen and is preferred to open splenectomy, but it should be performed only by experienced surgeons.
- In children undergoing splenectomy, the gallbladder should be removed concomitantly if the patient has symptomatic gallstones .