- Increased surgical risk due to the underlying pathology e.g. liver cirrhosis and portal hypertension
- Impaired liver function
- Nutritional issues
- Infections - Increase risk of Spontaneous bacterial peritonitis
- Wound complications
- Ascites increases intra-abdominal pressure, which can interfere with wound healing and predispose to complications like wound dehiscence, hernias, or infections.
- Increased abdominal pressure can also affect the effectiveness of sutures and staples, potentially leading to poor closure outcomes
- Delayed recovery
- Ascitic fluid accumulation can contribute to delayed postoperative recovery
- Fluid management
- Patients with ascites require careful fluid management during and after surgery to prevent dehydration, electrolyte imbalances, or fluid overload. Monitoring fluid balance, including urine output, is crucial.