Ascites, abdominal wall closure and cirrhosis

From: Ricardo Savaris (rsavaris@hcpa.ufrgs.br)
Tue Sep 7 18:49:47 2004


Hello folks.

Need some help with a case. We performed a SAH in a patient with HCV and cirrhosis. She was doing fine on the post-op, but on PO day 3 she started to drain ascitis from the surgical wound. She was draining 1000ml/day. We started to give her diuretics, and on day 7, she is draining only 300ml/day. I would like to know if you guys have any experience on these sort of case. My concerns: she will make a fistula, and will spoliate a lot from the ascitis.

Thank you

--
Ricardo Savaris, MD
Porto Alegre - Brazil
hope you remember me




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