saPHenous - Peritoneal sHunt in reFractory ascites :  aneglecteDtecHnique

P B Thapa; A Rungta; M R Joshi; D R Singh; S K Sharma

doi:10.31729/jnma.512

saPHenous - Peritoneal sHunt in reFractory ascites : aneglecteDtecHnique

Authors

P B Thapa KMC Teaching Hospital, Sinamangal, Kathmandu
A Rungta KMC Teaching Hospital, Sinamangal, Kathmandu
M R Joshi KMC Teaching Hospital, Sinamangal, Kathmandu
D R Singh KMC Teaching Hospital, Sinamangal, Kathmandu
S K Sharma KMC Teaching Hospital, Sinamangal, Kathmandu

DOI:

https://doi.org/10.31729/jnma.512

Abstract

Management of intractable ascites has always been a challenge. Peritoneovenous shunt (PVS) plays
a major role in the surgery of intractable ascites in patients with liver cirrhosis.
1-7
Positive pressure
gradient between the ascitic fluid and venous pressure leading to one-way drainage of ascitic fluid
into venous circulation is the mainstay. Over decades, various modifications of shunting technique
have been done.
Here we report our experience with this procedure which is safe, easy and effective. Here the long
saphenous vein is used as a drainage system. One-way ascites flow is ensured by a natural valve in
the saphenous orifice.

Key Words: Ascites / Peritoneovenous shunt / sapheroperitoneal shunt.

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Published

2006-04-01

How to Cite

Thapa, P. B., Rungta, A., Joshi, M. R., Singh, D. R., & Sharma, S. K. (2006). saPHenous - Peritoneal sHunt in reFractory ascites : aneglecteDtecHnique. Journal of Nepal Medical Association, 45(162). https://doi.org/10.31729/jnma.512

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Issue

Vol. 45 No. 162 (2006)

Section

Case Reports

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