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Surgical Approach to Cirrhotic Patients

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The Acute Management of Surgical Disease

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Abstract

Patients with liver disease, and those with cirrhosis in particular, have long been among the most complex and difficult to manage for healthcare providers of all specialties. For surgeons, this diagnosis alone can be enough to cause even the most aggressive to take pause when considering operative intervention. Unfortunately, this all-too-common affliction is ever-present and often exacerbates other underlying conditions to the point of needing surgical intervention. Cirrhotic patients who undergo non-hepatic operations demonstrate increased in-hospital mortality of 8–25% compared to 1.1% mortality in non-cirrhotic patients. Appropriate perioperative planning and meticulous post-operative management can result in successful navigation of this subset of patients through the perils of this crucial period to provide beneficial and life-saving interventions.

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Authors and Affiliations

  1. Department of Surgery, University of Minnesota, Minneapolis, MN, USA

    Zachary R. Bergman & Greg J. Beilman

  2. M Health-Fairview Health System, Minneapolis, MN, USA

    Greg J. Beilman

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  1. Zachary R. Bergman
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Correspondence to Greg J. Beilman .

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Editors and Affiliations

  1. Trauma and Acute Care Surgery, Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    Martin D. Zielinski

  2. Trauma and Surgical Care Clinic, Vanderbilt University, Nashville, TN, USA

    Oscar Guillamondegui

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Bergman, Z.R., Beilman, G.J. (2022). Surgical Approach to Cirrhotic Patients. In: Zielinski, M.D., Guillamondegui, O. (eds) The Acute Management of Surgical Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-07881-1_35

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