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Trends in Medical Research
  Year: 2011 | Volume: 6 | Issue: 3 | Page No.: 169-177
DOI: 10.3923/tmr.2011.169.177
Synthetic Sapheno-peritoneal Shunts in Treatment of Refractory Ascites in Egypt
Mohamed Balbola, Aymen Mohi Eldin, Gamal El-Maadawy, Ibrahim Elsayaad, Nagah Salem, Abd El-Hameed Hefney and Raof Hassan

Abstract:
Complications of ascites such as refractory ascites and hepatorenal failure are usually associated with the worsened quality of lifestyle so carry a very high mortality rate. The aim of the present study was to determine whether a usage of a synthetic graft could resolve the problem and offer potential advantages over Autogenous peritoneo-venous shunt. Synthetic sapheno-peritoneal shunts were done for 13 patients with refractory ascites. Clinical data such as bodyweight, abdominal girth, daily urinary output and Child-Pugh Score (S. albumin) were recorded. Patients were followed up for at least 6 months after surgery. The bodyweight and abdominal girth tended to decrease in 92.3% of cases. The dose of diuretic was notably reduced in all patients and totally stopped in (30.8%) after 3 months and Child-Pugh scores had improved after the saphenous-peritoneal shunts. Groin seroma, hematoma and cellulitis were reported in a case (7.7%) for each but Shunt occlusions occurred in 2 cases (15.4%) following this procedure. Liver transplantation was done successfully for 15.4% in this group of patients. In conclusion, the quality of lifestyle of cirrhotic patients with refractory ascites was improved with marked decrease in wound complications and shunt obstructions in short term. However, long-term follow up is difficult because of the bad prognosis in these patients. This technique may be a pre-request for some patients before transplant.
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How to cite this article:

Mohamed Balbola, Aymen Mohi Eldin, Gamal El-Maadawy, Ibrahim Elsayaad, Nagah Salem, Abd El-Hameed Hefney and Raof Hassan, 2011. Synthetic Sapheno-peritoneal Shunts in Treatment of Refractory Ascites in Egypt. Trends in Medical Research, 6: 169-177.

DOI: 10.3923/tmr.2011.169.177

URL: https://scialert.net/abstract/?doi=tmr.2011.169.177

 
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