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What is Portal Hypertension Surgery?

Portal hypertension, a life-threatening complication of liver cirrhosis or vascular disorders, requires specialized surgical intervention to reduce pressure in the portal vein and prevent complications like variceal bleeding or ascites. At Liver Surgeons, Delhi's premier center, we offer:

  • Decompression Surgery: Redirects blood flow to reduce portal pressure.
  • Variceal Bleeding Control: Emergency and preventive interventions.
  • Surgical Management of Ascites: Long-term relief for fluid buildup.
  • Budd-Chiari Syndrome Surgery: Restores blood flow from the liver.
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Portal Hypertension Surgery In Delhi

Advanced surgical solutions for portal hypertension and its complications

Surgical Procedures

  1. Portal Hypertension Decompression Surgery
    • Goal: Redirect blood flow from the high-pressure portal system.
    • Techniques: Includes Distal Splenorenal Shunt (DSRS) and Mesocaval Shunt Surgery.
  2. Distal Splenorenal Shunt (DSRS)
    • Procedure: Connects the splenic vein to the left renal vein, preserving liver blood flow.
    • Use Cases: Ideal for patients with variceal bleeding and preserved liver function.
  3. Mesocaval Shunt Surgery
    • Procedure: Links the superior mesenteric vein to the inferior vena cava.
    • Use Cases: Severe portal hypertension unresponsive to medication.
  4. Variceal Bleeding Surgery
    • Options: Endoscopic ligation, shunt surgery, or devascularization.
    • Emergency Care: 24/7 access to life-saving interventions in Delhi.
  5. TIPS Procedure Alternative
    • Surgical Shunts: For patients unsuitable for Transjugular Intrahepatic Portosystemic Shunt (TIPS), we offer DSRS or mesocaval shunts as durable alternatives.
  6. Surgical Management of Ascites
    • Peritoneovenous Shunt: Channels abdominal fluid into the venous system.
    • Liver Transplant Evaluation: For refractory ascites with advanced liver disease.
  7. Budd-Chiari Syndrome Surgery
    • Approach: Vascular reconstruction or mesocaval shunts to restore hepatic blood flow.
  8. Splenectomy for Portal Hypertension
    • Role: Reduces portal pressure by removing the enlarged spleen.
    • Combined Procedures: Often paired with shunt surgery for optimal results.

Why Choose Liver Surgeon in Delhi?

Dr. Ashish George – Pioneer in Portal Hypertension Surgery:

  • 15+ Years of Expertise: Performed 200+ decompression surgeries, including DSRS and Budd-Chiari Syndrome Surgery.

Innovative Outcomes:

  • 85% Success Rate in preventing recurrent variceal bleeding.
  • 75% Long-Term Survival for Budd-Chiari patients.

Global Training:

  • Advanced fellowships in hepatobiliary surgery and vascular reconstruction.

Technology:

  • 3D Venous Mapping: Precision planning for shunt surgeries.
  • Intraoperative Doppler Ultrasound: Ensures shunt patency.

Holistic Care:

  • Collaborates with hepatologists, radiologists, and nutritionists.

Cost-Effective:

  • High-quality outcomes at 60% lower costs than Western countries.

Take Control of Portal Hypertension – Schedule a Consultation Today!

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Portal Hypertension Surgery FAQs

For patients with good liver function, surgical shunts (DSRS/mesocaval) offer longer-lasting results than TIPS, with lower reintervention rates.

Our surgical management of ascites focuses on long-term solutions, reducing recurrence risk by 70% through tailored procedures.

Most patients resume normal activities in 4–6 weeks. Dr. George's team in Delhi provides personalized rehab plans.

Vascular reconstruction or mesocaval shunts are used to bypass blocked hepatic veins, tailored to your anatomy.

Candidates typically include patients with recurrent variceal bleeding, refractory ascites, or Budd-Chiari syndrome who have preserved liver function and are not suitable for TIPS. A detailed evaluation by our hepatobiliary team determines eligibility.

As with any major surgery, risks include bleeding, infection, and shunt thrombosis. However, with 3D mapping and intraoperative Doppler monitoring, our team minimizes complications and ensures safe outcomes.

Yes, most patients stay for 5–7 days post-surgery for observation, recovery, and initiation of physical therapy. Complex cases like Budd-Chiari may require a longer stay.

Absolutely. Successful decompression surgeries significantly reduce symptoms like fatigue, bleeding, and abdominal swelling, improving physical comfort and daily functioning.