abdominal paracentesis

Etymology: L, abdominis, belly; Gk, para, near, kentesis, puncturing

the surgical puncture of the abdominal cavity for the removal of fluid for diagnosis or treatment.

paracentesis [par″ah-sen-te´sis]

surgical puncture of a cavity for the aspiration of fluid. adj., adj paracentet´ic.

abdominal paracentesis insertion of a trocar through a small incision and into the peritoneal cavity to remove ascitic fluids or inject a therapeutic agent. This is most often done to remove excess fluid in a patient with cirrhosis of the liver. Called also abdominocentesis and peritoneocentesis.

Before the procedure the patient is instructed to empty the bladder to reduce the danger of accidental puncture of the bladder. The skin below the umbilicus and overlying the rectus muscle is cleansed with an antiseptic. A local anesthetic is used to anesthetize the skin and underlying tissues at the site of insertion of the trocar. During the procedure the patient may be placed in a sitting position with the feet resting on a foot stool or on the floor. The back and arms should be well supported. The container for collecting the drainage is placed at the patient's feet. As the fluid is being withdrawn the patient is observed for symptoms of fainting or shock.

The amount and character of the fluid obtained are recorded and a specimen is saved if the physician requests laboratory examination of the fluid. After the trocar is removed a sterile dressing is applied to the site. A more permanent procedure for relief of accumulations of excess fluid in the peritoneal cavity is insertion of a peritoneovenous shunt.

Client position for paracentesis. From Lammon et al., 1995.

abdominal paracentesis

insertion of a trocar through a small incision or a needle into the abdominal cavity, to remove ascitic fluids, inject a therapeutic agent, or to collect a sample for cytological and chemical examination. It is an important technique in the examination of horses for colic and in investigation of causes of ascites in all species. Called also abdominocentesis.

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abdominocentesis alcoholic cirrhosis ascites atrophic cirrhosis biliary cirrhosis cardiac cirrhosis cardiocirrhosis cirrhosis colic fatty cirrhosis fatty liver Hanot's disease Laënnec's cirrhosis liver liver abscess liver failure liver fluke Liver function tests metabolic cirrhosis	She had been admitted 1 month previously, at which time an abdominal paracentesis revealed lymphocytic predominance, no acid-fast bacilli, and negative cultures. Radiological case of the month: Paritosh C. Khanna, MD; Suleman A. ... by Khanna, Paritosh C.; Merchant, Suleman A.; Joshi, Anagha R. / Applied Radiology Abdominal paracentesis was performed the day before surgery, and 2 L of thick brownish fluid was extracted. Spleen abscess as malaria complication by Lewis, Harold R.N. / Emerging Infectious Diseases His past medical history was significant for end-stage liver disease secondary to hepatitis C-induced cirrhosis confirmed on biopsy and repeated interventions with abdominal paracentesis for his recurrent ascites during the previous 2 years. Cryptococcal peritonitis complicating hepatic failure: case report ... by Saif, Muhammad Wasif; Raj, Mohan / Journal of Applied Research	abdominal decompression abdominal delivery abdominal examination abdominal external oblique muscle abdominal fascia abdominal fissure abdominal fistula abdominal gestation abdominal girth abdominal guarding abdominal hernia abdominal hysterectomy abdominal hysterotomy abdominal inguinal ring abdominal internal oblique muscle abdominal lipectomy Abdominal Man Abdominal migraine abdominal muscle deficiency syndrome abdominal muscles abdominal nephrectomy abdominal nerves abdominal obesity abdominal pad abdominal pain abdominal paracentesis abdominal pregnancy abdominal pressure abdominal prevertebral plexus abdominal pulse abdominal quadrant abdominal reflex abdominal reflexes abdominal region abdominal regions abdominal respiration abdominal ring abdominal salpingectomy abdominal salpingotomy abdominal section abdominal sounds abdominal splinting abdominal sponge abdominal surgery abdominal tap abdominal tenaculum abdominal testis abdominal thrust abdominal thrust maneuver Abdominal Ultrasound abdominal ultrasound test	abdominal muscle ischemia abdominal muscle ischemia Abdominal muscles Abdominal muscles abdominal nephrectomy abdominal nerve plexus abdominal nerves Abdominal obesity Abdominal Obesity-Metabolic Syndrome Abdominal Obesity-Metabolic Syndrome Quantitative Trait Locus 2 Abdominal Organ Cluster Transplantation abdominal pad abdominal pad abdominal pad abdominal pad abdominal pad Abdominal pain Abdominal pain Abdominal pain Abdominal pain Abdominal Pain Diagnostic Program Abdominal pains abdominal palpation abdominal palpation abdominal palpation abdominal palpation g's, grunt expiratory abdominal palpation g's, grunt expiratory abdominal palpation g's, grunt expiratory Abdominal Panniculectomy Abdominal Panniculectomy abdominal paracentesis Abdominal Perineal Abdominal perineal resection Abdominal perineal resection abdominal pregnancy abdominal pregnancy abdominal pregnancy abdominal pregnancy Abdominal Press abdominal pressure abdominal prevertebral plexus abdominal pulse abdominal pulse abdominal pulse abdominal pulse abdominal quadrant abdominal r abdominal r abdominal r abdominal r abdominal r's abdominal r's abdominal r's abdominal r's abdominal r's, asternal r's abdominal r's, asternal r's abdominal r's, asternal r's abdominal raphe abdominal raphe abdominal raphe abdominal reflex

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abdominocentesis
alcoholic cirrhosis
ascites
atrophic cirrhosis
biliary cirrhosis
cardiac cirrhosis
cardiocirrhosis
cirrhosis
colic
fatty cirrhosis
fatty liver
Hanot's disease
Laënnec's cirrhosis
liver
liver abscess
liver failure
liver fluke
Liver function tests
metabolic cirrhosis

She had been admitted 1 month previously, at which time an abdominal paracentesis revealed lymphocytic predominance, no acid-fast bacilli, and negative cultures.

Radiological case of the month: Paritosh C. Khanna, MD; Suleman A. ... by Khanna, Paritosh C.; Merchant, Suleman A.; Joshi, Anagha R. / Applied Radiology

Abdominal paracentesis was performed the day before surgery, and 2 L of thick brownish fluid was extracted.

Spleen abscess as malaria complication by Lewis, Harold R.N. / Emerging Infectious Diseases

His past medical history was significant for end-stage liver disease secondary to hepatitis C-induced cirrhosis confirmed on biopsy and repeated interventions with abdominal paracentesis for his recurrent ascites during the previous 2 years.

Cryptococcal peritonitis complicating hepatic failure: case report ... by Saif, Muhammad Wasif; Raj, Mohan / Journal of Applied Research

abdominal decompression

abdominal delivery

abdominal examination

abdominal external oblique muscle