Portal Hypertension Surgery is required when increased pressure in the portal vein, often due to cirrhosis, leads to complications such as varices, ascites, or splenomegaly. The surgery aims to reduce this pressure and prevent life-threatening complications.

The procedure may involve a portosystemic shunt, which reroutes blood flow around the liver, or a liver transplant if the liver is severely damaged. A transjugular intrahepatic portosystemic shunt (TIPS) is often used to create an artificial pathway for blood flow.

Postoperative care includes managing complications like bleeding or infection and ensuring proper liver function. Patients often require medications and lifestyle changes to manage the underlying liver disease.

Portal hypertension surgery significantly improves survival rates in patients with cirrhosis and portal vein hypertension, reducing the risk of life-threatening complications and improving long-term quality of life.