Hereditary spherocytosis and partial splenectomy in children: review of surgical technique and the role of imaging.

Abstract:

:The risks associated with total splenectomy, including overwhelming postsplenectomy infection, have led to an interest in the use of partial splenectomy as an alternative surgical option for children with congenital hemolytic anemias and hypersplenism. Partial splenectomy, a procedure designed to remove enough spleen to improve anemia and avoid complications of splenic sequestration while preserving splenic function, has shown promise in children. Radiologic imaging is essential for the preoperative evaluation and postoperative care for children undergoing partial splenectomy and offers a broad range of critical clinical information essential for care of these complex children. It is imperative for radiologists involved in the care of these children to be familiar with the surgical technique and imaging options for these procedures. This article reviews the surgical technique as well as the current status of various diagnostic imaging options used for children undergoing partial splenectomy, highlighting technical aspects and specific clinical information obtained by each modality.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Hollingsworth CL,Rice HE

doi

10.1007/s00247-009-1519-8

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

1177-83

issue

7

eissn

0301-0449

issn

1432-1998

journal_volume

40

pub_type

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