Selected article for: "early recognition and mortality morbidity"
Author: Hickman, Laura; Tanner, Lauren; Christein, John; Vickers, Selwyn
Title: Non-Hepatic Abdominal Surgery in Patients with Cirrhotic Liver Disease
  • Cord-id: mz4z0hx1
  • Document date: 2018_11_21
    • ID: mz4z0hx1
    Snippet: Cirrhotic liver disease is an important cause of peri-operative morbidity and mortality in general surgical patients. Early recognition and optimization of liver dysfunction is imperative before any elective surgery. Patients with MELD <12 or classified as Child A have a higher morbidity and mortality than matched controls without liver dysfunction, but are generally safe for elective procedures with appropriate patient education. Patients with MELD >20 or classified as Child C should undergo tr
    Document: Cirrhotic liver disease is an important cause of peri-operative morbidity and mortality in general surgical patients. Early recognition and optimization of liver dysfunction is imperative before any elective surgery. Patients with MELD <12 or classified as Child A have a higher morbidity and mortality than matched controls without liver dysfunction, but are generally safe for elective procedures with appropriate patient education. Patients with MELD >20 or classified as Child C should undergo transplantation before any elective procedure given mortality exceeds 40%. Laparoscopic procedures are feasible and safe in cirrhotic patients.

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