Laparoscopic method for treating refractory ascites in decompensated liver cirrhosis

摘要

The invention relates to medicine, in particular to hepatology and can be used for treating refractory ascites in patients with decompensated liver cirrhosis.Summary of the method consists in that a decompressed dosed laparocentesis is performed with partial evacuation of the ascitic fluid and intraperitoneal injection of ceftriaxone 2…4 g and ciprofloxacin 200…400 mg, simultaneously is transfused the frozen plasma 400…600 ml and cryoprecipitate 80…120 ml, after 24…48 hours is performed the laparoscopic intervention under general anesthesia, with complete evacuation of the ascitic fluid, the peritoneal lavage is performed with a mixture of 2000…4000 ml of physiological saline with dexamethasone 16…24 mg, followed by multiple punctiform excisions of 0.3…0.8 cm of the parietal peritoneum in the region of the diaphragm and the right lateral abdominal wall followed by drainage of the abdominal cavity for 3…5 days with daily lavages in the postoperative period with this mixture with the addition of 10% solution of lidocaine 4…6 ml, after the introduction of the mixture the drains are closed for 24 hours, after which they are evacuated.