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Occasionally, liver biopsy is required to monitor the progress of treatment, such as in chronic viral hepatitis. [1] It is an effective way to measure changes in the Ishak fibrosis score. [3] For the last century liver biopsy has been considered as the gold standard for assessing the stage and the grade of chronic liver disease.
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.
A laparotomy can be used to diagnose cancer, endometriosis, gallstones, gastrointestinal perforation, appendicitis, diverticulitis, liver abscess, ectopic pregnancy, and other conditions involving abdominal organs. A biopsy can be performed during the procedure. [3]
During an exploratory laparotomy, a large incision is made vertically in the middle of the abdomen to access the peritoneal cavity, then each of the quadrants of the abdomen is examined. [1] Various other maneuvers, such as the Kocher maneuver, or other procedures may be performed concurrently. Overall operative mortality ranges between 10% and ...
Gastrointestinal pathology (including liver, gallbladder and pancreas) is a recognized sub-specialty discipline of surgical pathology.Recognition of a sub-specialty is generally related to dedicated fellowship training offered within the subspecialty or, alternatively, to surgical pathologists with a special interest and extensive experience in gastrointestinal pathology.
Depending on incision placement, laparotomy may give access to any abdominal organ or space, and is the first step in any major diagnostic or therapeutic surgical procedure of these organs, which include: [citation needed] the digestive tract (the stomach, duodenum, jejunum, ileum and colon) the liver, pancreas, gallbladder, and spleen; the bladder
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hepat- : related to the liver, from the latin hēpatītis, from the latin hēpar, Greek loanword, originally ηπαρ, hēpar, meaning "liver" hyster- : related to the uterus, from Neo-Latin hysteria, itself ultimately from the Greek ύστέρα, hústéra, meaning "womb, uterus" lamino- : related to the lamina (posterior aspect of vertebra)