(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 20.1 Introduction Sickle cell anemia is an inherited hemoglobinopathy that causes acute and chronic hemolytic anemia. Patients…
(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 19.1 Introduction Sickle cell anemia is one of the common hemoglobinopathies around the world. It results from…
(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 16.1 Introduction Sickle cell anemia is known to be associated with several widespread complications that can affect…
(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 15.1 Introduction A variety of neurological complications occur in patients with sickle cell anemia. Approximately 25 %…
(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 13.1 Introduction The pathophysiology of sickle cell anemia is basically related to abnormalities of RBCs leading to…
(1) Department of Surgery, Dar A lAlafia Medical Company, Qatif, Saudi Arabia 3.1 Introduction The normal hemoglobin is made up of two parts (Fig. 3.1): Fig. 3.1 Diagrammatic representation…
Fig. 24.1 Patient positioning Fig. 24.2 Operating room setup (From Tanigawa [1] with permission) Port Placement Entry into the abdomen is gained through a 2 cm vertical skin incision that…
Fig. 23.1 Trocar placement and a mini-laparotomy site for laparoscopic proximal gastrectomy. Five trocars are placed in the abdominal wall. The trocar site on the left rectus muscle is extended…
Fig. 12.1 Abdominal trocar placement Abdominal Dissection The gastrohepatic ligament is divided. The dissection is continued to the right crus up toward the phrenoesophageal ligament and across the diaphragm to…
Fig. 15.1 Operating table side support is fixed to the table side rails. (A) Center knob to adjust the arm. (B) Side knob to pull out the inner rod and…
