SURGICAL MANAGEMENT OF SICKLE CELL ANEMIA: THE USE OF PACKED RED BLOOD CELL TRANSFUSIONS

Abstract
Patients with sickle cell anemia are notably poor risks for surgery. By giving repeated transfusions of packed normal red blood cells and by maintaining a normal hemoglobin, the anemia is corrected, the bone marrow depressed, and ultimately the peripheral blood will contain predominantly red blood cells, thus diminishing the risk of surgery. The same procedure is suggested for the treatment of intractable leg ulcers and also for selected patients with sickle cell anemia and sickle cell variance in the last trimester of pregnancy.