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Laparoscopic Splenectomy for Splenic Sequestration Crisis
Author(s) -
HendricksFerguson Verna L.,
Nelson Martha A.
Publication year - 2000
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)62265-5
Subject(s) - splenectomy , medicine , general surgery , spleen
Medical and surgical advances have improved the treatment of splenic sequestration crises in pediatric patients with sickle cell disease (SCD). Rapid enlargement of the spleen can result from sickled blood cells being trapped in the spleen, which can be life threatening. The laparoscopic splenectomy procedure using the lateral approach has been adapted successfully for the pediatric patient since 1993. Children with SCD who have a history of a splenic sequestration crisis usually are scheduled for an elective splenectomy procedure after the first documented crisis to reduce the risk of death. Some key benefits of this new surgical approach include a shortened hospital stay, decreased postoperative pain, and faster recovery and return to normal activities for the child with SCD. AORN J 71 (April 2000) 820–834.