dissection of the fusion fascia of Toldt. The outcome of the 2 ... the construction of a trouble-free and tension-free splenorenal anastomosis. Here- in, we describe ...
Surgical Technique
A Simplified Technique of Performing Splenorenal Shunt (Omar’s Technique)
Omar Javed Shah, MS Irfan Robbani MD
The splenorenal shunt procedure introduced by Robert Linton in 1947 is still used today in those regions of the world where portal hypertension is a common problem. However, because most surgeons find Linton’s shunt procedure technically difficult, we felt that a simpler technique was needed. We present the surgical details and results of 20 splenorenal anastomosis procedures performed within a period of 30 months. Half of the patients (Group I) underwent Linton’s conventional technique of splenorenal shunt; the other half (Group II) underwent a newly devised, simplified shunt technique. This new technique involves dissection of the fusion fascia of Toldt. The outcome of the 2 techniques was identical with respect to the reduction of preshunt portal pressure. However, our simplified technique was advantageous in that it significantly reduced the duration of surgery ( P
