[Sapheno-peritoneal shunt for the treatment of ascites].
For the surgical treatment of drug resistant ascites caused by hepatic cirrhosis usually different types of valvular plastic tubes are used, implanted as peritoneo-venous shunts. These shunts drain the ascites into the jugular vein. In the 1st Surgical Department of the Semmelweis University Budapest we have performed 267 peritoneo-venous shunt operations. We introduced a new method using an autolog venous graft with a peritoneo-venous anastomosis, that drains the ascites into the saphenous, then femoral vein. So far we performed 5 such interventions. The early results suggest that sapheno-peritoneal shunt can be successfully used for treatment of ascites. With this operation complications of plastic grafts are avoidable.
Nagy
Z
Z
Semmelweis Egyetem Altalános Orvostudományi Kar I. sz. Sebészeti Klinika, 1082 Budapest, Ullói út 78. NO@seb1.sote.hu
Gyurkovics
E
E
Kaliszky
P
P
Kupcsulik
P
P
D001201:Ascites / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000379:methods*; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome