Randomized, controlled pilot study comparing large-volume paracentesis using wall suction and traditional glass...

Area of Science:

• Gastroenterology
• Hepatology
• Interventional Procedures

Background:

• Large-volume paracentesis (LVP) is essential for managing ascites but can be time-consuming.
• Wall suction is increasingly used for ascites drainage, but its benefits and safety require formal evaluation.

Purpose of the Study:

• To compare the cost and time efficiency of wall suction versus traditional glass vacuum bottles for LVP.
• To evaluate the safety and patient satisfaction associated with both drainage methods.

Main Methods:

• A randomized controlled pilot study compared wall suction and vacuum bottle drainage for LVP in hospitalized patients.
• Procedures were performed under ultrasound guidance; albumin was administered for large-volume fluid removal.
• Data on demographics, procedure details, laboratory values, hemodynamics, and complications were collected and analyzed.

Main Results:

• Wall suction drainage was significantly faster (7 vs. 15 minutes) and less costly ($4.59 vs. $12.73) than vacuum bottle drainage.
• No significant differences in patient outcomes were observed at 24, 48 hours, or 60-day follow-up between the two methods.

Conclusions:

• Wall suction offers significant advantages in procedure time and cost savings for LVP.
• The findings suggest wall suction is a safe and effective alternative for ascites drainage, though larger studies are warranted.