Re: Ascites, abdominal wall closure and cirrhosis

From: Joe Cutchin (forcep@intercom.net)
Wed Sep 8 13:34:01 2004


And creatinine of fluid?

Ricardo Savaris wrote: >
> No, she had not ascites prior of the surgery. Actually, she is doing
> fine today, after loadas of diuretics, she is draining 150ml/day.
> Liver function abnormal, as expected, but under control
>
> Savaris
>
> At Tue, 07 Sep 2004, Joe wrote:
> >
> >Did she have ascites prior to surgery? Any progression to liver failure?
> >Haven't seen that volume except as urine.
> >
> >Ricardo Savaris wrote:
> >
> >> 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
>
> --
> Ricardo Savaris, MD
> Porto Alegre - Brasil





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