[The use of peritoneal port-systems in the treatment of diuretic-resistant cirrhotic ascites].
Treatment results of 54 patients with liver cirrhosis and portal hypertension, complicated by diuretic-resistant ascites, were analyzed. Peritoneal port-system was implanted in 12 cases, the rest 42 patients had peritoneovenous bypass with the use of Levine's valve. Port-system implantation was possible in patients with contraindications for bypass, such as low central venous and intraabdominal pressure gradient, chylous ascites, ventral hernias etc. The use of peritoneal ports provides fractional reinfusion af the ascetic fluid, which excludes such complications as hemodilution and coagulopathy.
B A
BA
Abdurakhmanov
Sh Kh
ShKh
Gantsev
O K
OK
Kulakeev
D000328:Adult; D001201:Ascites / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D004232:Diuretics / Q000627:therapeutic use*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000295:instrumentation*; D016896:Treatment Outcome; D055815:Young Adult
D004232:Diuretics