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The surgery involves exposing the porta hepatis (the area of the liver from which bile should drain) by radical excision of all bile duct tissue up to the liver capsule and attaching a Roux-en-Y loop of jejunum to the exposed liver capsule above the bifurcation of the portal vein creating a portoenterostomy. [1]
Sedation (to reduce irritability and agitation of the subject during procedure) with analgesia (painkillers) and vital signs monitoring should be set up. Before the procedure, bedside ultrasound is done to confirm the position of the dilated bile ducts in the liver. The puncture site is then marked.
Prior to surgery, cytotoxic agents such as oxaliplatin given systemically for colorectal metastasis, or chemoembolization for hepatocellular carcinoma can significantly decrease the size of the tumor bulk, allowing then for resections which would remove a segment or wedge portion of the liver only. These procedures can also be aided by ...
Abdominal ultrasound can be used to diagnose abnormalities in various internal organs, such as the kidneys, [1] liver, gallbladder, pancreas, spleen and abdominal aorta.If Doppler ultrasonography is added, the blood flow inside blood vessels can be evaluated as well (for example, to look for renal artery stenosis).
A TIPS procedure decreases the effective vascular resistance of the liver through the creation of an alternative pathway for portal venous circulation. By creating a shunt from the portal vein to the hepatic vein, this intervention allows portal blood an alternative avenue for draining into systemic circulation.
These dogs are truly deserving of a little fun in their lives. As the rescue themselves noted, many of the dogs are in hospice care with cancer, renal failure, or other serious health issues. So ...
It is basically an ultrasound probe (acoustic vibrator) combined with an aspirator device . [1] It is mainly used for tissues with high water content and low fiber content, like noncirrhotic liver and pancreas. It has advantages of less blood loss, improved visibility and less collateral tissue damage.
The driver accused of killing NHL star Johnny Gaudreau and his brother faces more severe charges under a new indictment. Sean M. Higgins, 44, is accused of aggravated manslaughter and other crimes ...