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Perioperative anaesthesia care in a child with hereditary spherocytosis for laparoscopic splenectomy

Author:

Dr. Deepak C. Koli, Dr. Tapas Mandal and Dr. Hemant H. Mehta

Subject Area:

Physical Sciences and Engineering

Abstract:

Hereditary spherocytosis (HS) is a familial haemolyticdisorder characterizedby formation of abnormal red blood cells with fragile cell walls causing anaemia, jaundice, splenomegaly and gallstone formation. Most children have a mild disease and hencedo not require splenectomy, mainly reserved for a severe disease or in patients with symptomatic gall stone disease. The anaesthetic management of hereditary spherocytosis mainly depends upon the degree of haemolysis and severity of anaemia.We reportanaesthetic management in a case of HS with splenomegaly for elective laparoscopic SOS open splenectomy.

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