| The peritoneo-saphenous shunt for palliation of refractory ascites. | |
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MedLine Citation:
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PMID: 14601548 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe a safe surgical technique for the management of refractory ascites. PATIENTS AND METHOD: Two preterminal patients with respiratory compromise caused by refractory ascites had the long saphenous vein transected at mid-thigh and anastomosed to the peritoneum in the region of the internal inguinal ring. This allowed direct drainage of the ascitic fluid into the vascular system (peritoneosaphenous shunt). RESULTS: The procedure was performed successfully on two patients. The first patient, with cirrhosis, was leading a normal lifestyle without diuretic use at 7 1/2 months' follow-up. The second patient, with cirrhosis and multifocal hepatoma, was fit enough for discharge without medication. CONCLUSION: The peritoneo-saphenous shunt deserves further evaluation as a novel and safe surgical technique for the management of refractory ascites. |
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Authors:
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R S Blaylock; D Emby; M Hopley; J W Toogood |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie Volume: 39 ISSN: 0038-2361 ISO Abbreviation: S Afr J Surg Publication Date: 2001 Aug |
Date Detail:
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Created Date: 2003-11-06 Completed Date: 2003-12-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2984854R Medline TA: S Afr J Surg Country: South Africa |
Other Details:
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Languages: eng Pagination: 83-5 Citation Subset: IM |
Affiliation:
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Gold Fields Health Services, Western Deep Levels Hospitals, Carletonville. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ascites
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surgery* Humans Male Middle Aged Peritoneovenous Shunt* Saphenous Vein Ultrasonography, Doppler |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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