Warren shunt or Distal splenorenal shunt
10. The splenic vein is then mobilized first inferiorly, anteriorly , posteriorly and finally superiorly.
11.The pancreatic veins arising from the slenic vein are very friable and require careful handling and tying.
12. After mobilizing the splenic vein, the left renal vein is identifed. It can be identified either above or below the transverse colon.
13. All the tributaries of left renal vein are ligated
14 Splenic vein is ligated near the superior mesenteric vein and closed with 5-0 prolene
15. Splenic end is further mobilized and all the pancreatic veins are tied
16. Satinsky clamp is applied over the Left renal vein and a rim of tissue about 1-1.5 cm is cut
17. Splenic vein is then anastomosed to Left renal vein using continuous prolene 5-0
18. Haemostasis checked and abdomen is closed without drains.
The Homepage for surgery Mcq questions
Surgical Questions on liver
A thorough understanding of imaging of liver diseases.
Discuss the surgery questions
