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
BABLER EA. THE SURGICAL TREATMENT OF ASCITES SECONDARY TO VASCULAR CIRRHOSIS OF THE LIVER: DESCRIPTION OF A SIMPLE TECHNIC. JAMA. 1912;LVIII(15):1092–1094. doi:10.1001/jama.1912.04260040108003
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