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  • Title: [Postoperative chylous ascites: its etiology and treatment].
    Author: Carones S, Caporossi M, Di Paola S, Pagano G, Di Domenica M, Persico Stella L.
    Journal: G Chir; 1996; 17(11-12):586-8. PubMed ID: 9162181.
    Abstract:
    Postoperative chylous ascites is a rare clinical condition that occurs as a consequence of disruption of the abdominal lymphatics after retroperitoneal dissection. Generally the management is conservative based on a low fat diet and total parenteral hyperalimentation. However, such therapy requires weeks to months before resolution of the ascites. On the other hand, surgical approach is associated with a high failure rate to ligate leaky lymphatics. The Authors, therefore suggest a surgical resolution of the ascite with the use of fibrin glue to occlude rapidly and permanently the lymphatics ruptured.
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