[AVBC 2025] Tissue Adhesive as an Effective Standard of Care for Persistent Post-Paracentesis Fluid Leaks
Care Process & Redesign
Appropriate & Value-based Care Conference
SingHealth
5 December 2025
To provide a simpler, cost-effective, and patient-centred solution for managing persistent post-paracentesis fluid leaks. Tissue adhesive should be adopted as the standard of care for managing persistent post-paracentesis fluid leaks.
Year Submitted: 2025
Published Date: 05 December 2025
Tags: Care Process ＆ Redesign, Value Based Care, Productivity, Safe Care, Quality Improvement, Clinical Practice Improvement, Patient Satisfaction
About this Content
Aims
To provide a simpler, cost-effective, and patient-centred solution for managing persistent post-paracentesis fluid leaks.
Background
Persistent fluid leakage occurs in up to 20.8% of patients following paracentesis. Traditional management methods are often uncomfortable for patients, labor-intensive for healthcare providers, and associated with risks of skin irritation and infection.
Methods
None of the 61 patients had leakage after the intervention. 80% of patients felt very comfortable during the application, and there was an estimated cost saving of up to $4074.8 from May to October 2023.
Results
None of the 61 patients had leakage after the intervention. 80% of patients felt very comfortable during the application, and there was an estimated cost saving of up to $4074.8 from May to October 2023.
Conclusion
Tissue adhesive should be adopted as the standard of care for managing persistent post-paracentesis fluid leaks. It delivers improved patient outcomes, enhances patient-centred care, and provides cost savings for the patients and healthcare system.
Lessons Learnt
Tissue adhesive is a safe, simple, and cost-effective method for managing persistent post-paracentesis fluid leaks. It improves patient comfort and satisfaction while reducing the need for invasive alternatives and aligns with value-based healthcare principles.
Keywords
Tissue Adhesive, Post-Paracentesis, Cost-Effective, Patient Comfort, Value-Based Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Gastroenterology |
Project Lead(s) | Thinesh Edward Balasingam |
Project Member(s) | Lin Mei |
Connect with this contributor!
Thinesh Edward Balasingam - thinesh.edward.balasingam@sgh.com.sg