The decision-making process for liver biopsy is quite complicated: many factors are patient-specific. We’re always happy to discuss individual cases. If we need histopathology or assessment of copper levels then it’s important to consider risk factors for post-op bleeding. It’s not always a black or white decision. In many cases, there’s a grey area where … Continue reading
This is a common and important issue. Contrary to what one might think, the evidence from human medicine is that coagulation screening tests are unnecessary prior to general surgery unless there is a history of coagulopathy or other predisposition. http://www.ncbi.nlm.nih.gov/pubmed/3190281 http://www.ncbi.nlm.nih.gov/pubmed/?term=eika+havig To quote the latter: ‘The study demonstrated complete lack of correlation between the preoperative … Continue reading
