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April 13, 1912

THE SURGICAL TREATMENT OF ASCITES SECONDARY TO VASCULAR CIRRHOSIS OF THE LIVERDESCRIPTION OF A SIMPLE TECHNIC

Author Affiliations

Surgeon to Deaconess Hospital; Visiting Surgeon, City Hospital ST. LOUIS

From the St. Louis City Hospital.

JAMA. 1912;LVIII(15):1092-1094. doi:10.1001/jama.1912.04260040108003
Abstract

In ascites secondary to vascular cirrhosis of the liver, epiplopexy is indicated as soon as the internist makes the diagnosis. Itis conceded that many of these patients will demand repeated tapping before they will consent to surgical intervention. Sinclair White1 contends that operation is contra-indicated in cases of Bright's disease and should not be performed on patients over 55 or 60 years of age, or on patients in whom the total amount of urea is greatly reduced. Organic disease of the heart or lungs also contra-indicates operation. When marked jaundice, emaciation and hebetude appear, practically all surgeons agree that operation is contra-indicated. Recently, however, Dr. Crandall, visiting physician to the City Hospital, referred a patient suffering with ascites secondary to vascular cirrhosis of the liver, and although he was jaundiced, emaciated and in a very poor condition, epiplopexy was performed under local anesthesia with very good results. Occasionally such

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