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Home Moldova Technologies Method for Restoration of Lymphocirculation Through the Thoracic Duct in the Hepatic Cirrhosis With Refractory Ascites

Method for Restoration of Lymphocirculation Through the Thoracic Duct in the Hepatic Cirrhosis With Refractory Ascites


The invention relates to medicine, particularly hepatology and can be used for restoration of lymphocirculation through the thoracic duct to patients with hepatic cirrhosis with refractory ascites.

Summary of the invention consists in that under local anesthesia it is made a horizontal incision of 4…5 cm in the left supraclavicular region, there are sectioned the I…IV cervical fasciae, it is mobilized the internal jugular vein and the left venous angle, it is separated the thoracic lymphatic duct in the region of the left venous angle, it is mobilized the thoracic lymphatic duct along the full cervical segment with release from adhesions, there are mobilized the afferent lymphatic branches, it is prepared one of the branches, having the greatest diameter, through which it is introduced a bulbous-end probe with the diameter of 1…2 mm into the lumen of the thoracic lymphatic duct, then it is temporarily pressed with the help of a clip the terminal part of the thoracic duct and with the help of a syringe it is retrogradely introduced under pressure an anesthetic solution by filling the lumen of the cervical duct, the other afferent lymphatic branches are sectioned and legated, and after restoration of lymphocirculation it is released the terminal portion of the thoracic lymphatic duct. The wound is sutured in layers. As anesthetic solution it is used 2% or 10% lidocaine in the quantity of 5…10 ml.

Innovative Aspect and Main Advantages

A genuine conception of step-by-step segmentary lymphostream disorder has been suggested, which made it possible to motivate the pathogeny indications for operating the thoracic lymphatic duct. Taking into consideration the role of the lymphocirculatory disorders in increasing the ascites syndrome, the operation for decompressing the neck segment of the thoracic duct has been worked out and implemented. This generation made it possible to improve the results of the treatment of cirrhotic refracted ascites and the growth of life quality of the patients suffering from decompensating liver cirrhosis.

Areas of Application

Medicine - surgical hepatology, gastroenterology.

Fig.1. The operation for reactivation on lymphostream in TLD.

Stage of Development

Patented in Moldova: MD 116; 2009.10.07. Large clinical application.

Contact Details

State University of Medicine and Pharmacy “N.Testemitanu”
Contact person: Dr. Gheorghe Anghelici
Address: Bd. Moscova 2, ap.196 Chisinau МD 2068, Republic of Moldova
Tel.: (+ 373 22) 495 559
E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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