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A modification of the Warren shunt

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Abstract

A technical modification of the Warren distal splenorenal shunt is described. A segment of internal jugular vein is utilized to connect the distal splenic vein to the renal vein. This technical modification results in significant reduction in operating time and intraoperative blood loss and is technically easier to perform. These benefits accrue primarily by avoiding extensive mobilization of the splenic vein, a step otherwise necessary in performing the original Warren shunt. The modified shunt was successfully carried out in 10 patients. There was a single in-hospital death following the procedure. In a follow-up period ranging from 3 months to 5 years and 6 months, shunt patency was demonstrated to be excellent.

Résumé

Une modification technique de l'opération de Warren est décrite. Elle consiste à interposer un segment de la veine jugulaire interne entre la veine splénique et la veine rénale. Le procédé réduit la difficulté de l'intervention, sa durée et la perte de sang. Il évite en effet la mobilisation étendue de la veine splénique, étape délicate de l'opération de Warren.

L'interposition veineuse a été pratiquée chez 10 opérés, 1 est mort au décours de l'opération. Chez les survivants suivis de 3 mois à 5 ans et 6 mois la perméabilité de l'anastomose est restée excellente.

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Correspondence to Seshadri Raju M.D..

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Raju, S. A modification of the Warren shunt. World J. Surg. 6, 450–456 (1982). https://doi.org/10.1007/BF01657680

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Keywords

  • Blood Loss
  • Operating Time
  • Jugular Vein
  • Renal Vein
  • Internal Jugular Vein