Abstract
The authors describe their own initial experience with saphenoperitoneal modification of the peritoneovenous shunt in intractable ascites solution. Their findings with this easy type of permanent ascites drainage using the "patient's own resources" are puzzling.
Highlights
Peritoneovenous shunt (PVS) plays a major role in the surgery of intractable ascites in patients with liver cirrhosis[1,2,3,4,5,6,7]
The long saphenous vein is used as a drainage system (Fig. 1)
To perform better peritoneal drainage we have suggested a modification with a silastic catheter whose fenestrated peritoneal end (25 cm) is placed in the peritoneal cavity with saphenous end reaching vein just bellow the valve (Fig. 3)
Summary
Peritoneovenous shunt (PVS) plays a major role in the surgery of intractable ascites in patients with liver cirrhosis[1,2,3,4,5,6,7]. A number of drainage systems have been developed over the course of time. Systems, which permit active flow management (Denvers shunt) enabling us to retain long-term cumulative function, are optimal[8, 9]. The long saphenous vein is used as a drainage system (Fig. 1). One-way ascites flow is ensured by a natural valve in the saphenous orifice[10]
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call