Distal Splenorenal Shunt Surgical procedure ; Definition, indications, Advantages, Complications скачать в хорошем качестве

Distal Splenorenal Shunt Surgical procedure ; Definition, indications, Advantages, Complications

A Distal Splenorenal Shunt (DSRS) is a surgical procedure that creates a connection between the splenic vein and left renal vein to reduce portal hypertension. Indications: 1. Portal hypertension 2. Variceal bleeding 3. Refractory ascites 4. Hepatic hydrothorax 5. Budd-Chiari syndrome Contraindications: 1. Severe liver dysfunction 2. Heart failure 3. Pulmonary hypertension 4. Portal vein thrombosis 5. Hepatic vein thrombosis Procedure: 1. Abdominal incision 2. Exposure of splenic vein and left renal vein 3. Creation of shunt between splenic and left renal veins 4. Ligation of splenic artery Benefits: 1. Reduces portal pressure 2. Decreases variceal bleeding 3. Improves ascites management 4. Enhances quality of life Complications: 1. Shunt thrombosis 2. Hepatic encephalopathy 3. Worsening liver function 4. Hemorrhage 5. Infection Advantages: 1. Selective shunt (reduces risk of hepatic encephalopathy) 2. Preserves portal flow to liver 3. Less invasive than other shunts Disadvantages: 1. Technically challenging 2. Requires skilled surgeon 3. Risk of shunt failure #DistalSplenorenalShunt