The management of portal hypertension complicated by iterative gastro-intestinal bleeding remains challenging, especially in a low-income environment. Interventional radiology and endoscopic treatments are not always accessible, and a definitive surgical option may prove to be lifesaving. We report a new technique of surgical portosystemic shunt that can be performed in all contexts. We describe the surgical technique of a H-shaped splenorenal shunt using autologous rolled up peritoneum as a vascular graft.
Terwagne, N., Marique, L., Dieu, A., Dahlqvist, G., & Coubeau, L. (2022). The use of autologous peritoneum in surgery of portal hypertension: H-shape splenorenal shunt using simple layer peritoneal tube. Acta Gastro-Enterologica Belgica, 85(4), 643-645. https://doi.org/10.51821/85.4.9665 (Original work published 2022)