Liver biopsy is to obtain a tissue sample through invasive method, which is carried out using a needle biopsy. The procedure will be the definitive guide on the state of liver tissue and will be executed only in certain cases, it involves a certain risk of developing complications.
Indications for liver biopsy
As mentioned above, there are several indications for liver biopsy. They are to assess the extent of illness or an interim assessment of the success of transplant rejection diagnosis or assessment of suspected cancer of the liver in excessive laboratory needs clarification if unexplained physical symptoms such as jaundice in cases of infiltrative granulomatous disease … etc.
In addition there are contraindications, as well. Some of them may be transferred from both levels of high INR indicates bleeding low platelet counts the presence of trends in fluid in the abdominal cavity (ascites) causing the patients … etc.
Once you have decided to subject the patient to a liver biopsy, they must be prepared in advance to avoid complications. Below is a checklist of pre-operative preparation.
Withdrawals from the receipt of aspirin a week before the test is not retained steroid resistance inflammatory drug three days before the test, an explanation of the procedure and the risks associated with patient remedy any deficiencies in the number of platelets or INR. Preferably, the post 6 hours before the biopsy.
With well-trained patient procedure can be performed as follows.
Location Supin patient’s position with his right hand under your head can be patient a little twist to the left side of the characterization of the liver, either by percussion different indications of the image (or guided by means of Ultrasound CT) can give some light sedation to make the procedure comfortable. The practice of sterile precautions and clean up the site with betadine and lay sterile drape. Infiltrate local anesthetic agent, generate a small incision to sing a scalpel blade, insert a needle biopsy and advance to the liver, either manually or guided by the images. Get a sample biopsy and remove the needle. Apply cutting pressure on the biopsy site.
After the biopsy procedure, the patient should be observed for at least 1 hour or for 24 hours, as usually practiced. The following will guide post-op care for such patients.
Ask the patient to be his left to minimize bleeding and leakage of blood pressure monitor, respiratory rate pulse rate … and so every 15 minutes for the first hour, every 30 minutes for the second hour and every hour to rest for 24 hours. If no complication at the end of 24 hours the patient can be discharged.
Most of the complications arising from liver biopsy will take place in the first 2 hours and thus pain and bleeding would account for most of these complications.