[Postoperative chylous ascites: its etiology and treatment].
Postoperative chylous ascites is a rare clinical condition that occurs as a consequence of disruption of the abdominal lymphatics after retroperitoneal dissection. Generally the management is conservative based on a low fat diet and total parenteral hyperalimentation. However, such therapy requires weeks to months before resolution of the ascites. On the other hand, surgical approach is associated with a high failure rate to ligate leaky lymphatics. The Authors, therefore suggest a surgical resolution of the ascite with the use of fibrin glue to occlude rapidly and permanently the lymphatics ruptured.
Carones
S
S
Divisione di Chirurgia Generale, Ospedale S. Giuseppe, Albano Laziale (Roma) USL RM/H.
Caporossi
M
M
Di Paola
S
S
Pagano
G
G
Di Domenica
M
M
Persico Stella
L
L
D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012187:Retroperitoneal Space; D014014:Tissue Adhesives / Q000627:therapeutic use
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives
Ascite chilosa post-operatoria: etiologia e trattamento.