Liver ascites drainage surgery video

Under normal circumstances, hepatic ascites can lead to fluid accumulation in the abdominal cavity. If not treated promptly, this may result in increased fluid buildup and place additional strain on the liver. Treatment is typically performed via peritoneal puncture under ultrasound guidance. The specific procedure is as follows:

1. Position the patient in a supine position and select a puncture site in the left or right lower abdomen.

2. Perform local disinfection and lay sterile drapes.

3. Administer local anesthesia, aspirating while injecting to prevent accidental intravascular injection of anesthetic.

4. Insert the puncture needle perpendicularly, using a "Z" track technique if necessary. Stop advancing the needle once a loss of resistance is felt.

5. Open the valve to drain the ascitic fluid. If there is a large volume of fluid, connect an external drainage bag.

6. Administer intravenous albumin after fluid removal.

Paracentesis for liver ascites is highly effective, but it can also pose significant risks to the body. Therefore, if ascites symptoms are mild, it is recommended to treat by correcting hypoalbuminemia. If intervention is required, it should be performed under the guidance of a qualified medical professional.