Article

Postoperative ascites of unknown origin after laparoscopic gynecologic surgery: a 5-year experience of 8 cases and review of the literature.

Department of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, PR China.
Surgical laparoscopy, endoscopy & percutaneous techniques (impact factor: 1.23). 06/2012; 22(3):e129-31. DOI:10.1097/SLE.0b013e318247cd90
Source: PubMed

ABSTRACT We performed an observational study over 5 years on patients with postoperative ascites who had undergone laparoscopic surgery in our hospital.
Patients with postoperative ascites of unknown origin were monitored in the hospital from July 2006 to June 2010. Clinical manifestations, biochemical analysis, and treatment are discussed in the study.
Of 21,380 laparoscopic surgeries, 8 cases of postoperative ascites of unknown origin were identified in otherwise healthy women. None of the patients revealed any definitive causes even after an extensive diagnostic work-up and recovered uneventfully with general supportive treatments.
Postoperative ascites of unknown origin are a rare complication of laparoscopic gynecologic surgery. We surmised that the most likely cause of the ascites is a diffuse peritoneal injury by some substances used during the operation, and supportive therapy is very important.

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Keywords

21,380 laparoscopic surgeries
 
ascites
 
biochemical analysis
 
Clinical manifestations
 
definitive causes
 
extensive diagnostic work-up
 
general supportive treatments
 
healthy women
 
laparoscopic gynecologic surgery
 
likely cause
 
observational study
 
patients
 
postoperative ascites
 
substances
 
unknown origin
 

Wei Jiang