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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.

Preliminary Examination

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.

Surgery

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.

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Age: 15 years or older

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Luisenhospital

9.8/10 from 3 Votes

Department of General, Abdominal and Thoracic Surgery

Splenectomy in spherocytosis #30305

The Department of General, Abdominal and Thoracic Surgery offers surgical treatment of all clinical pictures of the abdominal cavity, thorax and thyroid gland. If possible, surgical procedures are minimally invasive. The department specializes in the treatment of hernias, thyroid surgery and proctology.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Martha-Maria Hospital

8.9/10 from 23 Votes

Department of General, Abdominal, Vascular and Thoracic Surgery

Splenectomy in spherocytosis #286921

The Department of General, Abdominal, Vascular and Thoracic Surgery at the Martha-Maria Hospital in Munich  specializes in endocrine surgery, minimally invasive surgery, gastrointestinal surgery (all gastrointestinal diseases that require surgical treatment), pulmonary surgery, vascular surgery...


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

Department of General, Visceral, Vascular Surgery and Traumatology

Splenectomy in spherocytosis #300652

The Department of General, Abdominal, Vascular Surgery and Traumatology at the Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of victims of accidents.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Grevenbroich

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Surgery

Splenectomy in spherocytosis #177581

The Department of Surgery at the university hospital Klinikum rechts der Isar provides a wide range of treatment of diseases requiring surgical intervention.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

University Hospital RWTH Aachen

9.2/10 from 41 Votes

Department of General, Abdominal and Transplant Surgery

Splenectomy in spherocytosis #104387

The Department of General, Visceral and Transplant Surgery at the University Hospital Aachen is one of the biggest visceral surgery centers in North Rhine-Westphalia. The priority area is oncologic visceral surgery with a special competence in the field of liver and pancreas.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificate

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of General, Visceral, Vascular and Endocrine Surgery

Splenectomy in spherocytosis #247999

The Department of General, Visceral and Vascular Surgery focuses on surgery and research in the field of endocrinology, colon cancer and vascular medicine. Modern and interdisciplinary treatment technology, such as "keyhole surgery" and interventional surgery, are an integral part of the work.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle
certificate

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of General and Abdominal Surgery

Splenectomy in spherocytosis #109147

According to the Focus magazine rating of 2017, the Department of General and Abdominal Surgery ranks among the top German departments specializing in colon cancer treatment! The department deals with the treatment of all general and abdominal surgical diseases and performs surgery to transplant liv...


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Cologne

9.8/10 from 82 Votes

Department of General, Abdominal and Tumor Surgery

Splenectomy in spherocytosis #76659

The Department of General, Abdominal and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery to treat  cancer of the esophagus, stomach, small and large intestine, liver, gallbladder, pancreatic and thyroid cancer.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Charite University Hospital Berlin

9/10 from 95 Votes

Department of General, Abdominal and Vascular Surgery

Splenectomy in spherocytosis #106387

The Department for General, Abdominal and Vascular Surgery at the University Hospital Charite provides services in the field of general, visceral surgery and other surgical areas.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of General and Abdominal Surgery

Splenectomy in spherocytosis #51823

The team of experienced general and visceral surgeons covers the entire range of diagnosis and first-rate modern general and visceral surgery for diseases of the abdominal cavity (the entire gastrointestinal tract, liver, the gall bladder, pancreas gland, spleen, peritoneum), endocrine organs (thyro...


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Alfried Krupp Hospital in Essen-Steele

7.3/10 from 40 Votes

Department of General and Abdominal Surgery

Splenectomy in spherocytosis #50229

A team of experienced specialists in the field of general and visceral surgery provides the full range of services in diagnosis and treatment of all the surgical diseases of the abdominal cavity (the whole gastrointestinal tract, liver, gall bladder, pancreas, spleen, peritoneum), endocrine organs (...


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

University Hospital Würzburg

9.2/10 from 38 Votes

Department of General, Abdominal, Vascular and Pediatric Surgery

Splenectomy in spherocytosis #223567

The Department of General, Abdominal, Vascular and Pediatric Surgery (Department of Surgery I) covers the entire spectrum of general and abdominal surgery. There are two specialized Sections of Vascular and Pediatric Surgery. The Department offers the whole range of top-class surgical services.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Hannover Medical School

9.8/10 from 43 Votes

Department of General, Abdominal and Transplant Surgery

Splenectomy in spherocytosis #244837

The Department of Surgery at the Hannover Medical School offers comprehensive surgical treatment of benign and malignant diseases of the entire abdominal cavity.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

DRK Altenkirchen-Hachenburg Hospital

10/10 from 23 Votes

Department of General and Abdominal Surgery

Splenectomy in spherocytosis #321653

The Department of General and Abdominal Surgery performs all types of surgery to treat abdominal organs, thyroid disorders and proctology.   The procedures are mostly minimally invasive, i. e. performed through the holes in the abdominal wall ranging in size from 5 to 12 mm.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Altenkirchen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of General Surgery

Splenectomy in spherocytosis #330125

The Department of General Surgery at the Tel Aviv Sourasky Medical Center treats patients requiring both emergent and planned surgery. The Department leads Israel in a broad range of surgical procedures and shows outstanding success rates.


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Academic Hospital Neuperlach

9.8/10 from 11 Votes

Department of General and Abdominal Surgery, Endocrine Surgery and Coloproctology

Splenectomy in spherocytosis #145075

The department of general and abdominal surgery, endocrine surgery and coloprotology treats patients with surgical diseases of the organs of the abdominal cavity, the abdominal wall, and treated the anal region and endocrine organs (thyroid, parathyroid and adrenal glands).


Duration: 9 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate




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