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Liver surgery is safe when performed by experienced surgeons with appropriate technological and institutional support. As with most major surgical procedures, there is a marked tendency towards optimal results at the hands of surgeons with high caseloads in selected centres (typically cancer centres and transplantation centres).
Liver transplantation is a potential treatment for acute or chronic conditions which cause irreversible and severe ("end-stage") liver dysfunction. [4] Since the procedure carries relatively high risks, is resource-intensive, and requires major life modifications after surgery, it is reserved for dire circumstances.
A liver injury, also known as liver laceration, is some form of trauma sustained to the liver. This can occur through either a blunt force such as a car accident, or a penetrating foreign object such as a knife. [1] Liver injuries constitute 5% of all traumas, making it the most common abdominal injury. [2]
Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. [1] It is divided into two types blunt or penetrating and may involve damage to the abdominal organs. [2] Injury to the lower chest may cause splenic or liver injuries. [3]
During this surgery laparotomy pads are placed around the bleeding liver. [2] The main purpose of hepatic packing is to prevent the bleeding so trauma triad of death can be avoided. [ 3 ] Under- or over-packing of the liver can cause adverse outcomes, and if the bleeding cannot be controlled through this surgical method, the Pringle manoeuvre ...
A transplant surgeon went to great lengths to ensure that his patient would be able to get their new liver. ... Bodzin said even though the surgery was delayed an hour and a half, it was a success
In more severe instances, shunts or a liver transplant may be considered. If blood flow to the gastrointestinal tract has been compromised chronically, surgery may be required to remove dead intestine. [1] Different considerations are made in the management of PVT in pediatric patients or those who have already received a liver transplant. [1]
Surgery is only considered if the entire tumor can be safely removed while preserving sufficient functional liver to maintain normal physiology. Thus, preoperative imaging assessment is critical to determine both the extent of HCC and to estimate the amount of residual liver remaining after surgery.
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