Surgery: Spherocytosis — Splenectomy. Treatment
Surgical treatment spherocytosis is the solution to health problems for many patients. The surgery implies splenectomy, i.e. removal of the spleen, which is the main place of destruction of abnormal red blood cells. The timely surgery leads to the disease-free flow without recurrent hemolytic crises in 90% cases.
The first visit to the clinic involves the case history collection, examination and preparation of the plan of special and general clinical examination. The following tests are usually prescribed:
- complete blood count and urinalysis;
- blood chemistry;
- test for osmotic resistance of red blood cells;
- cytogenetic analysis;
- abdominal ultrasound identifies the size of the spleen and availability of extra lobes therein;
- CT and MRI evaluate the general condition of the patient and complications.
Splenectomy is usually indicated for children over 5 years old; the earlier surgery often leads to complications. The indications for surgical treatment are determined by the physician individually, based on the test findings.
On the eve of the intervention, a series of measures according to the preoperative standard is carried out. Vaccines, hormones, and other drugs are administered. Upon severe anemia, the transfusion therapy is indicated. The purpose of preparation is to prevent complications and reduce the rehabilitation period.
The surgery to remove the spleen is performed under general anesthesia by laparotomy. During surgery, the surgeon examines the abdomen for inflammation, excises the spleen and all its extra lobes (if any), as well as provides hemostasis.
The patient stays in the hospital full time for up to 12 days; here he undergoes symptomatic therapy and a full range of nursing services. The cost of required drugs is discussed individually. After receipt of further recommendations on the diet, lifestyle and treatment, the patient is discharged.Hide
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