{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:08Z","timestamp":1787169608099,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Chylous ascites (CA) is a form of ascites having leakage of lipid-rich lymph into the peritoneal cavity, due to damage or obstruction in the lymphatic system. Aetiology of CA could be congenital or acquired. Primary lymphatic hypoplasia is seen commonly in children and presents with lymphoedema, chylothorax or CA. CA is initially treated conservatively with the aim to provide gut rest and decrease intestinal secretions. Surgical treatment is recommended if 1\u20132 months of conservative approach fails. The success of the operation depends on identifying the site of leakage of the lymphatic duct. Surgical options are ligation of leaking lymphatics, peritoneo-venous shunt, laparotomy and fibrin glue. Laparoscopy has been used for diagnosis but not for glue and mesh application in congenital CA where the lymphatic leak is unidentified. We present here the first experience of laparoscopic fibrin glue and mesh application in congenital CA with successful outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_228_21","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T08:10:04Z","timestamp":1646899804000},"page":"469-471","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Refractory congenital chylous ascites"],"prefix":"10.4103","volume":"18","author":[{"given":"Sunita","family":"Ojha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit","family":"Bharadia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupam","family":"Chaturvedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-24-20240828","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.jpedsurg.2018.09.011","article-title":"Retroperitoneal exploration with Vicryl mesh and fibrin tissue sealant for refractory chylous ascites","volume":"54","author":"Carr","year":"2019","journal-title":"J Pediatr Surg"},{"key":"R2-24-20240828","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4103\/jiaps.JIAPS_123_19","article-title":"Refractory congenital chylous ascites: Role of fibrin glue in its management","volume":"25","author":"Saxena","year":"2020","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R3-24-20240828","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/01.XPS.0000525972.33509.05","article-title":"Surgical management of congenital chylous ascites","volume":"14","author":"Allaghdady","year":"2018","journal-title":"Ann Pediatr Surg"},{"key":"R4-24-20240828","doi-asserted-by":"crossref","first-page":"E15","DOI":"10.1016\/j.jpedsurg.2007.02.036","article-title":"Successful laparoscopic ligation of the lymphatic trunk for refractory chylous ascites","volume":"42","author":"Kuroiwa","year":"2007","journal-title":"J Pediatr Surg"},{"key":"R5-24-20240828","first-page":"857","article-title":"The anatomic study of chyle leakage due to operation on abdominal region","volume":"42","author":"Ji","year":"2004","journal-title":"Zhonghua Wai Ke Za Zhi"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_228_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:08:17Z","timestamp":1787166497000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_228_21"}},"subtitle":["First report of fibrin glue and mesh application by laparoscopy"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_228_21","relation":{},"ISSN":["0972-9941"],"issn-type":[{"value":"0972-9941","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}