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Related Experiment Videos

Surgical management in sicklemia.

C E Warner

    Journal of the National Medical Association
    |May 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    This review covers sickle cell disease (SCD) history, pathophysiology, and clinical crises. It details perioperative management and presents a ten-year surgical experience in a community hospital.

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    Area of Science:

    • Hematology
    • Surgical Medicine
    • Clinical Pathology

    Background:

    • Sickle cell disease (SCD) is a genetic blood disorder with significant implications for surgical patients.
    • Understanding SCD pathophysiology is crucial for managing perioperative risks.
    • Clinical manifestations, or crises, directly impact surgical planning and outcomes.

    Purpose of the Study:

    • To provide a comprehensive review of sickle cell disease (SCD) history and pathophysiology.
    • To analyze the relationship between SCD clinical types and surgical events.
    • To outline perioperative management strategies and present a community hospital's surgical experience with SCD patients.

    Main Methods:

    • Literature review on SCD history, pathophysiology, and clinical types.

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  • Analysis of the association between SCD crises and surgical occurrences (elective and emergency).
  • Retrospective study of surgical cases in patients with sickle cell disease over a ten-year period.

    • Main Results:

    • The review details the historical evolution and underlying pathophysiology of SCD.
    • Clinical crises in SCD are directly linked to both elective and emergency surgical procedures.
    • The retrospective study outlines a decade of surgical interventions for SCD patients in a community hospital setting.

    Conclusions:

    • Effective perioperative management is essential for improving surgical outcomes in SCD patients.
    • Recognizing cardinal features of SCD is critical for surgical teams.
    • The presented surgical experience provides valuable insights for managing SCD in a community hospital.