[Lymphovenous anastomosis in severe ascites]. / L'anastomosi linfovenosa nell'ascite difficile.
Minerva Chir
; 44(20): 2143-8, 1989 Oct 31.
Article
em It
| MEDLINE
| ID: mdl-2622551
ABSTRACT
The authors dealt with 37 patients suffering from advanced liver cirrhosis with ascites. Eighteen patients out of them underwent Denver peritoneum-jugular shunt as a first choice procedure, the other 19 patients underwent lymphovenous anastomosis. The extremely advanced hepatic damage and the general conditions of these patients discouraged us to perform a portocaval shunt. In the 19 patients who underwent lymphovenous anastomosis we had no mortality rate. Two patients showed post-operative complications 1 patient complained which hoarseness regressed in 5 months and the other patient suffered from a spleno-mesenteric-portal thrombosis with digestive hemorrhage from gastro-esophageal varices. In 6 patients out of 19 who underwent lymphovenous anastomosis, we did not obtain any immediate positive effects on ascites. In 4 patients, after 3 months, the ascites came back ingravescent and in the other 9 patients the positive effects on ascites were still evident after 1 year. Despite failure to obtain very comforting results, they suggest to employ this technique at any rate, as the first procedure, to make ascites more "manageable", because of its safety.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ascite
/
Ducto Torácico
/
Veias Jugulares
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
It
Revista:
Minerva Chir
Ano de publicação:
1989
Tipo de documento:
Article