Persistent Ascitic Fluid Leak

Occasionally, ascitic fluid may continue to leak from the needle tract once the needle/catheter has been removed.

Prevention:

• Use the "Z-tract" method when inserting the needle into the peritoneal cavity (see "Technique" section).

 

Management:

• Persistent fluid leak can be corrected with a single suture at the site of puncture.

 

Abdominal Wall Hematoma

Prevention:

• Never insert the needle through a superficial vessel

Management:

• Apply direct pressure to the insertion site following the procedure

Local Infection

Infection at the puncture site is usually a rare and mild complication.

Prevention:

• infection can be avoided by employing stringent sterile technique during the procedure

Management:

• monitor patient for signs and symptoms of local and systemic infections
• proper wound care
• antibiotic use as indicated