Splenectomy in combination with omentorenopexy as a method of treatment of ascites as a result of hepatic and under hepatic forms of portal hypertensia

Abstract

The purpose. To assess efficiency of splenectomy in combination with omentorenopexy as a method of surgical treatment of ascites at the dogs, caused by hepatic and under hepatic forms of portal hypertensia. Methods. Omentorenopexy, splenectomy, auto-reinfusion of ascitic fluids, infusion of 10% albumin of a man, conservative treatment (spironolactone and furosemide). Results. Simultaneous splenectomy and omentorenopexy in combination to preoperative correction of the level of general blood protein positively influences decrease of manifestations of ascites. Conclusions. Surgical correction of portal hypertensia and ascites by the combined operation which consists in simultaneous splenectomy and omentorenopexy, takes precedence over conservative treatment in long-term perspective. Correction of the level of general blood protein at dogs with ascites before surgical treatment positively influences the state of an organism in the early postoperative period that is manifested first of all by lowering of lethality.