• Paracentesis/Paracenthesis (sp?) procedure

    Asked by BobbiW on Friday, December 21, 2012

    Paracentesis/Paracenthesis (sp?) procedure

    Because of the bloating in my abdomen, I have gone through 2 therapeutic Paracentesis procedures (6-weeks apart). The 1st procedure resulted in 5.4L of fluid removed; the 2nd procedure resulted in 6.0L of fluid removed. The procedures were extremely painful during the draining process and caused MUCH stomach pain for a day or two afterwards, but the results after those 2 days were great and my abdomen felt "nearly normal" again. I'm worried my oncologist is going to order another procedure and was wondering who else has gone through this and if they had the same experiences. And, if they did, how did they handle it?

    P.S. After the 2nd procedure, my oncologist did take away the Cisplatin chemo due to the horrendous amount of fluids taken in during treatment so now I'm just doing the Gemzar to see if that helps to alleviate the fluid build-up in my abdomen. (1 of my chemo sessions was Cisplatin and Gemzar; followed by a 2nd session of just Gemzar)

    2 Answers from the Community

    • carm's Avatar

      BobbiW, I am an oncology nurse and you know paracentesis procedures are painful, if not on the day you get them then the few days afterward. This is what I hear with all my patients. You do have another option and that is to have a pleurex catheter placed. This is a temporary drainage system where a small tube is placed in the abdomen, usually on the side and is covered with a gauze 4x4 and tegaderm. When you need to be drained, you pull off the dressing and connect that tube to a tube that is connected to a plastic bottle. When you press down on the top of the bottle it creates a suction and drains out that fluid. It is very easy to do at home, not a sterile technique and once the fluid subsides, your doc can remove the tube in the office. It is not visible so no one knows you have it and you can shower with it, it is a great appliance for this situation. Im sure you can find information on line. The tube is placed by an interventional radiologist and it is a same day surgery procedure so there is no reason to spend the night. If you find these procedures painful, you might want to ask your oncologist about getting one placed. Normally chemo will dry up that fluid after awhile. Good luck, Carm.

      almost 4 years ago
    • BobbiW's Avatar

      Thanks so much Carm for the info!

      almost 4 years ago

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