DOI: 10.36347/sasjm.2021.v07i02.004

Pages: 44-46

We could successfully manage the patient with HS posted for laparoscopic splenectomy and cholecystectomy. Peri-operative management of HS largely depends on the severity of anaemia and the degree of haemolysis. Anemia should be corrected preoperatively before major surgery. Surgery should be avoided in the presence of haemolytic crisis. Anesthetic challenge includes prevention of hypoxia, acidosis and hypothermia. Vaccination before splenectomy is a must to prevent postoperative infections. Perioperative HS management should include blood transfusions, aggressive hydration, and prevention of hypoxia, acidosis, and temperature regulation [1, 2]. We report the case of a patient with this disorder presenting for laparoscopic cholecystectomy and splenectomy, under general anesthesia.