Evaluation of different techniques in management of malignant ascites

Authors:Brijesh singh, Arun kumar Patel , Aruna Patel
Int J Biol Med Res. 2012; 3(3): 2236-2240  |  PDF File

Abstract

Abstract The Present study was done in the Department of Surgery, J.A. Group of Hospitals and C.H.R.I. Gwalior in 40 Patients with malignant ascites in which 16(40%) were male and 24(60%) were female. Mean age was 54 years (Range 17-75yrs.) Out of 40 patients 20 (50%). patient underwent repeated paracentesis, 10(25%) underwent diuretic therapy and 10 (25%) patient underwent peritoneo-saphenous shunts. The reudction is abdominal girth following treatment by various procedures from pre treatment measurement was statistically significant at 0.1% level (P<0.001). The reduction in number of large volume paracentesis post peritoneo-saphenous shunt till 3 month follow up as compared to pre-peritoneo-saphenous shunt was statistically significant at 0.1 level (P<0.001). Shunt patency was 100% (8 patients ) at 1 month follow-up and 75% (6 patients) at 3 month follow up. Thus we conclude that peritoneo-saphenous shunt, repeated paracentesis is simple, safe and effective treatment modality. PS Shunt offers the benefits of prosthetic peritoneovenous shunt without the disadvantages and the expense of a prosthesis. shunt patency rate are high and it offers good control of ascites as evidenced by reduction in abdominal girth, reduirement of large volume paracentesis and improvement in subjective criterias (appetite, locomotion etc.) Complications of repeated paracentesis and shunt surgery are few and mostly manageable.