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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.
Surgical positioning is the practice of placing a patient in a particular physical position during surgery. The goal in selecting and adjusting a particular surgical position is to maintain the patient's safety while allowing access to the surgical site. Often a patient must be placed in an unnatural position to gain access to the surgical site ...
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)
A hand-held surgical probe is an essential component of any image-guided surgery system as it provides the surgeon with a map of the designated area. [8] During the surgical procedure, the IGS tracks the probe position and displays the anatomy beneath it as, for example, three orthogonal image slices on a workstation-based 3D imaging system.
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). [citation needed]
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The Pringle manoeuvre is used during liver surgery and in some cases of severe liver trauma to minimize blood loss. [1] For short durations of use, it is very effective at reducing intraoperative blood loss. [2] The Pringle manoeuvre is applied during closure of a vena cava injury when an atriocaval shunt is placed. [citation needed]