Type of Surgery
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Last updated: 11/24/2009
Liver biopsies are now performed as outpatient procedures in most hospitals. Patients are asked to lie on their right sides for one hour and then to rest quietly for three more hours. At regular intervals, a nurse checks the patient's vital signs....
If there are no complications, the patient is discharged, but will be asked to stay in an area that is within an hour from the hospital in case delayed bleeding occurs.
Patients should arrange to have a friend or relative take them home after discharge. Bed rest for a day is recommended, followed by a week of avoiding heavy work or strenuous exercise. The patient can immediately resume eating a normal diet.
Some mild soreness in the area of the biopsy is expected after the anesthetic wears off. Irritation of the muscle that lies over the liver can also cause mild discomfort in the shoulder for some patients. Acetaminophen can be taken for minor soreness, but aspirin and ibuprofen products are best avoided. The patient should, however, call the doctor if there is severe pain in the abdomen, chest, or shoulder; difficulty breathing; or persistent bleeding. These signs may indicate that there has been leakage of bile into the abdominal cavity, or that air has been introduced into the cavity around the lungs.
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In a traditional liver biopsy, access to the liver is gained through an incision in the abdomen (A).The liver is exposed (B). A wedge-shaped section is cut into the liver and removed (C).The liver incision is stitched (D).The abdominal incision is then repaired (E). (Illustration by GGS Inc.)
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Definition
A liver biopsy is a medical procedure performed to obtain a small piece of liver tissue for diagnostic testing. Liver biopsies are sometimes called percutaneous liver biopsies, because the tissue sample is obtained by going through the patient's skin.
Purpose
A liver biopsy is usually done to diagnose a tumor, or to evaluate the extent of damage that has occurred to the liver because of chronic disease. Biopsies are often performed to identify abnormalities in liver tissues after imaging studies have failed to yield clear results.
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