Splenectomy in Patients with Sickle Cell Disease in Tabuk

Asmaa Ghmaird; Mohammad Mohammad Alnoaiji; Sawsan Al-Blewi; Shaimaa Zaki; Ahmad El-lewi; Nehal Ahmad

doi:10.3889/oamjms.2016.034

Authors

Asmaa Ghmaird University of Tabuk, Medicine Faculty, Tabuk
Mohammad Mohammad Alnoaiji North West Armed Forces Hospital, Surgery Department, Tabuk
Sawsan Al-Blewi University of Tabuk, Pediatric Department, Tabuk
Shaimaa Zaki Medical Health Division National Research Center, Child Health Department, Cairo
Ahmad El-lewi North West Armed Forces Hospital, Tabuk
Nehal Ahmad North West Armed Forces Hospital, Tabuk

DOI:

https://doi.org/10.3889/oamjms.2016.034

Keywords:

sickle cell disease, splenectomy, pediatrics, spleen sequestration, acute chest syndrome, blood transfusion

Abstract

BACKGROUND: Sickle cell disease is a common genetic disease in Saudi Arabia; it is an autosomal recessive disorder characterized by production of abnormal hemoglobin S and is associated with high morbidity and mortality. Acute splenic sequestration is a life-threatening complication for this disease. Prophylactic splenectomy is the only effective strategy for preventing future life-threatening episodes.

AIM: The aim of this study was to study hospital records for all children aged 2 to 12 year old with Sickle cell disease who underwent splenectomy in Tabuk in Saudi Arabia.

METHODS: Records of 24 children (13 males, 11 females) who underwent splenectomy in surgery department of King Salman North West Armed Hospital, Tabuk, Saudi Arabia between 2008 and 2015 were reviewed retrospectively and analyzed for age, sex, indications for splenectomy, surgical technique, preoperative and postoperative length of stay, operative and postoperative complications, acute chest syndrome, painful crises, blood transfusion and fever (preoperative and postoperative).

RESULTS: We stressed on the information about the details of operation, the frequency of blood transfusion, fever, acute chest syndrome and painful crisis before and after operation.

CONCLUSION: Here we found that blood transfusion frequency decreased after splenectomy.

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