Usually there is a small amount of fluid in the abdominal cavity. However, there are a number of conditions that will cause extra fluid to collect in the abdomen. This extra fluid is called ascites. When too much acites collects and causes discomfort, then a paracentesis is performed.
What is a paracentesis?
A procedure to remove an abnormal accumulation of fluid in the abdomen. (ascites)
Reasons for Procedure:
This procedure may be done when excess fluid in the abdomen makes breathing difficult. In these cases, fluid is removed to make breathing easier.
How long will it take?
A paracentesis can take as little as 10-15 minutes, but more time may be required, depending on how much fluid has to be removed.
Will it hurt?
There will be some stinging or burning when the local anesthesia is being injected, but once the area is numbed, you should not feel the actual procedure.
Risks and Complications
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Bleeding
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Infection
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Accidental piercing of other structures in the abdomen, such as the intestine, liver, spleen, stomach, bladder or blood vessels.
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If the procedure has to repeated in a short amount of time, the result can be a loss of body protein.
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Outcome:
Get plenty of rest the day after the procedure, but you should not have to restrict your activities based on having a paracentesis. Be aware that an accumulation of abdominal fluid can recur until the condition that is causing it has been treated. Therefore, you may have to have the procedure again.
You need to call your Doctor if you have:
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Signs of infection - including fever and chills
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Redness, swelling, pain, excessive bleeding or drainage from the paracentesis site
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Swelling of the abdomen
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Feeling faint or lightheaded
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