title: Management Protocol for Chylous Ascites After Laparoscopic Nephrectomy.
abstract: OBJECTIVE
  To devise a management protocol for chylous ascites after laparoscopic nephrectomy.
  
  
  METHODS
  We retrospectively reviewed the data of the patients that underwent laparoscopic nephrectomy between January 2010 and January 2014 in our institution for different indications and were diagnosed with chylous ascites. We also analyzed a different management protocol that was used.
  
  
  RESULTS
  The overall incident rate of chylous ascites was 0.77%. It was more commonly seen on left side and with simple nephrectomy rather than radical. Three out of 9 patients were managed by surgical intervention, rest were successfully managed on conservative treatment in the form of dietary modification, total parenteral nutrition, or octreotide.
  
  
  CONCLUSIONS
  Chylous ascites is a rare but morbid condition following laparoscopic nephrectomy. To manage this complication, we propose preventive and treatment strategies based on symptoms and amount of chylous ascites using our experience and review of the literature.
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India. Electronic address: ankushjairath@gmail.com.
authors.forename: Ankush
authors.initials: A
authors.lastname: Jairath
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Ganpule
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India.
authors.forename: Shashikant
authors.initials: S
authors.lastname: Mishra
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Sabnis
authors.affiliation: Department of Urology, Muljhibhai Patel Urological Hospital, Nadiad, Gujarat, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Desai
mesh_terms: D000328:Adult; D000368:Aged; D002915:Chylous Ascites / Q000209:etiology / Q000628:therapy*; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012189:Retrospective Studies; D055815:Young Adult