Abdominal operations in patients with cirrhosis: Still a major surgical challenge

Outcome analysis of hip or knee arthroplasty in patients with cirrhotic liver disease

“…15 The results of the other recent study showed 10%, 30%, and 82% mortality in Child's A, B, and C cirrhotic patients in GI surgery, respectively. 16 The Mayo Clinic study included 26 patients undergoing combined hip and pelvic surgeries for fractures and the result of perioperative complication rate was reported as 53.8%. 14 The only previously study that exclusively evaluated the safety of hip arthroplasty is a recent uncontrolled study from Taiwan that overall perioperative complication rate was 26.7%.…”

Model for End-stage Liver Disease

“…Amongst patients with CTP class A, B, and C mortality for emergency surgery is 22%, 38%, and 100% respectively. 90 Since the introduction of MELD score, retrospective studies have confirmed MELD score to be predictive of outcome following surgery other than LT. 91,92 In the largest retrospective study addressing this issue reported from the Mayo Clinic analyzing 772 patients undergoing various kinds of surgeries, MELD score was an important variable in predicting outcome after surgery for short-term (7,30, and 90 days) and long-term outcomes at 1 or 5 years. Other important predictors were ASA class and recipient age with addition of 5.5 MELD points for ASA class IV and 3 MELD points for age more than 70 years.…”

The liver in heart failure: a biopsy and explant series of the histopathologic and laboratory findings with a particular focus on pre-cardiac transplant evaluation

“…The risk of perioperative death is markedly increased by cirrhosis due to any cause, [3][4][5] and cirrhosis is also associated with increased post-operative complications following cardiac surgery, [6][7][8][9] including increased rates of sepsis and bleeding. Serum bilirubin has been found to correlate with operative mortality and with the presence of cardiac cirrhosis in patients with primary pulmonary hypertension undergoing heartlung transplantation.…”