Paracentesis is a medical procedure used to remove excess fluid buildup from the abdominal cavity, a condition known as ascites. Ascites can occur due to various underlying conditions such as liver cirrhosis, heart failure, cancer, or infections. Paracentesis helps relieve symptoms associated with ascites, such as abdominal discomfort, difficulty breathing, and swelling.

Indications for Paracentesis

At Sandozi Health, paracentesis may be recommended for patients with the following conditions:

• Liver Cirrhosis: Ascites is a common complication of advanced liver cirrhosis.
• Cancer: Ascites can occur in patients with abdominal cancers such as ovarian cancer, gastrointestinal cancers, or lymphomas.
• Heart Failure: Certain heart conditions can lead to fluid buildup in the abdomen.
• Infections: Ascites due to infections such as tuberculosis or peritonitis.

Procedure Overview

Before the paracentesis procedure:

• Evaluation: Our gastroenterologists will assess the patient’s medical history, perform a physical examination, and conduct imaging studies if necessary to determine the presence and extent of ascites.
• Consent and Preparation: Patients will receive detailed information about the procedure, its benefits, risks, and what to expect during and after the procedure.
• Anesthesia: Local anesthesia may be administered to numb the skin over the abdomen to minimize discomfort during the procedure.

During the paracentesis:

• Fluid Removal: Using ultrasound guidance for accuracy, a thin, hollow needle is inserted through the abdominal wall into the peritoneal cavity (abdominal cavity).
• Fluid Drainage: Excess fluid is gently withdrawn through the needle into a collection bag.
• Monitoring: The amount of fluid removed is monitored closely to prevent complications such as hypotension (low blood pressure) or electrolyte imbalances.
• Post-Procedure Care: After the procedure, patients are monitored for any immediate complications and provided with instructions for post-procedure care, including monitoring for signs of infection or fluid re-accumulation.