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Related Experiment Videos

Saphenoperitoneal shunt for intractable ascites.

Mohamed A Elsharawy1, Abdulaziz A Al-Quorain

  • 1Department of Surgery, College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia. elsharawya@yahoo.co.uk

Saudi Medical Journal
|February 28, 2006
PubMed
Summary

Saphenoperitoneal shunt (SPS) offers a safe and effective treatment for intractable ascites in chronic liver disease patients. This modified technique avoids circulatory shunts, showing promising results in managing refractory ascites.

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Area of Science:

  • Vascular Surgery
  • Hepatology
  • Gastroenterology

Background:

  • Ascites is a common complication of chronic liver disease.
  • Refractory ascites poses a significant management challenge.
  • Existing treatments may involve invasive procedures or lack efficacy.

Purpose of the Study:

  • To evaluate the safety and efficacy of a modified saphenoperitoneal shunt (SPS) procedure.
  • To present the surgical experience with SPS for intractable ascites.
  • To assess the outcomes of SPS in patients with refractory ascites.

Main Methods:

  • A prospective study involving 11 patients with intractable ascites.
  • Surgical technique involved dividing the long saphenous vein and anastomosing it to the peritoneum.

Related Experiment Videos

  • The procedure was performed between June 2001 and October 2003.

    • Main Results:

    • Seven out of eleven patients survived with a patent shunt at 6 months follow-up.
    • Mortality occurred due to liver failure and variceal hemorrhage.
    • One patient was lost to follow-up.

    Conclusions:

    • Saphenoperitoneal shunt (SPS) is a safe and effective option for managing intractable ascites.
    • The modified technique provides a viable alternative to circulatory shunts.
    • SPS demonstrates potential in improving outcomes for patients with refractory ascites.