Citation, DOI, disclosures and article data
Citation:
Iqbal S, Morgan M, Z-track technique for paracentesis. Reference article, Radiopaedia.org (Accessed on 01 Jun 2023) https://doi.org/10.53347/rID-90592
The Z-track technique is used for paracentesis. It produces a non-linear track between the dermis and the peritoneum, and this serves to decrease the chance of ascitic fluid leakage through the track.
Procedure
Instead of directly sticking the access needle from the skin surface into the peritoneal cavity, the non-needle hand gently slides the skin and subcutaneous tissues to one side before access. When the needle is removed and the stretched skin slips back into its original place, the result is that what was a direct access track now tracks diagonally through the skin (a "Z" shape) and the pressure of the subcutaneous tissues on this diagonal track helps seal it shut.
See also
- 1. Cho J, Jensen TP, Reierson K, Mathews BK, Bhagra A, Franco-Sadud R, Grikis L, Mader M, Dancel R, Lucas BP, , Soni NJ. Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine. (2019) Journal of hospital medicine. 14: E7-E15. doi:10.12788/jhm.3095 - Pubmed
- 2. Ong JP. Paracentesis. (2006) The American journal of gastroenterology. 101 (9): 1954-5. doi:10.1111/j.1572-0241.2006.00752.x - Pubmed
Promoted articles (advertising)