METHOD FOR TREATMENT OF LIVER CIRRHOSIS COMPLICATED WITH DIURETIC-RESISTANT ASCITES

摘要

FIELD: medicine.;SUBSTANCE: invention is related to medicine, namely to surgery, and may be used in treatment of patients with liver cirrhosis complicated with diuretic-resistant ascites. For this purpose under local anesthesia, fully implantable peritoneal port-system is installed into subcutaneous fat. Catheter of port-system is inserted into abdominal cavity with implantation to rectus muscle of abdomen by cuff, installing its working end into iliac fossa and connecting to port. System for transfusion passed through infusion pump is connected to port-system, connecting venous end of system for transfusion with subclavian vein. Prior to and after reinfusion, ascitic fluid is radiated with low-energy helium-neon laser with laser power at the outlet of 10 MW, exposure of 10-15 minutes, wave length of 0.63 mcm in continuous mode. Reinfusion of ascitic fluid is carried out with the rate of 15-20 ml per minute, fractionally by 500-700 ml with interval of 5-7 minutes, daily in volume of 1.5-2.5 l with reduction of initial volume to 1.05-0.55 l.;EFFECT: method makes it possible to reduce risk of postoperational complications development due to fractional introduction of autoascitic fluid and its radiation.;2 ex