Hassab’s decongestion operation is an elective surgical procedure to treat esophageal varices

Esophageal varices

In medicine , esophageal varices are extremely dilated sub-mucosal veins in the lower esophagus...

 in patients with portal hypertension

Portal hypertension

In medicine, portal hypertension is hypertension in the portal vein and its tributaries.It is often defined as a portal pressure gradient of 10 mmHg or greater.-Causes:Causes can be divided into prehepatic, intrahepatic, and posthepatic...

 as a result of cirrhosis

Cirrhosis

Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules , leading to loss of liver function...

 of the liver

Liver

The liver is a vital organ present in vertebrates and some other animals. It has a wide range of functions, including detoxification, protein synthesis, and production of biochemicals necessary for digestion...

. It was created by Dr. Mohammed Aboul-Fotouh Hassab

Mohammed Aboul-Fotouh Hassab

Mohammed Aboul-Fotouh Hassab was an Egyptian gastro-intestinal surgeon. He is well known for the description of his operation Hassab’s decongestion operation for the treatment of oesophageal varices as a result of portal hypertension. Dr...

, a professor of surgery at Alexandria University

Alexandria University

Alexandria University is a university in Alexandria, Egypt. It was established in 1938 as a satellite of Fuad University , becoming an independent entity in 1942. It was known as Farouk University until the Egyptian Revolution of 1952 when its name was changed to the University of Alexandria...

 in Egypt

Egypt

Egypt , officially the Arab Republic of Egypt, Arabic: , is a country mainly in North Africa, with the Sinai Peninsula forming a land bridge in Southwest Asia. Egypt is thus a transcontinental country, and a major power in Africa, the Mediterranean Basin, the Middle East and the Muslim world...

. It has proved to be one of the most effective operations to treat bleeding varices and is used widely to treat such patients.
The approach is abdominal.

1. Splenectomy
   Splenectomy
   A splenectomy is a surgical procedure that partially or completely removes the spleen.-Indications:The spleen, similar in structure to a large lymph node, acts as a blood filter. Current knowledge of its purpose includes the removal of old red blood cells and platelets, and the detection and fight...
   
   
2. Devascularization of the distal 7 cm of the esophagaus
3. Devascularization of the proximal part of the stomach
4. Vagotomy
   Vagotomy
   A vagotomy is a surgical procedure that involves resection of the vagus nerve.-Applications:Truncal vagotomy is a treatment option for chronic duodenal ulcers...
   
   and pyeloroplasty

Variously developed intra- and extramural vascular structures had a relationship to the endoscopic variceal form, and communicating vessels to varices were found in 28 of the 43 primary cases treated.