 |
|
The Safety of Intra-abdominal Surgery in Patients With Cirrhosis—Invited Critique
Jack Pickleman, MD
Arch Surg. 2005;140:655.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
In prior times, the surgeon on rounds would stand at the bedside and observe a lemon-yellow patient awaiting an urgent abdominal operation and proclaim, "He’s gonna die." Although this judgment was wholly subjective, it was rarely incorrect. Subsequently, systems such as the Child and CTP classifications appeared, but these also suffered from subjectivity. The problem with all such predictors of death was that they did exactly that but provided the surgeon with little guidance in the way of therapeutic interventions by which to thwart the anticipated outcome.
The present authors contend that the newer MELD classification is more predictive of patient outcome than the CTP classification, accurately predicting the demise of 9 of their 53 patients. However, when broken down by procedure, it was seen that 8 (33%) of 24 in the laparotomy group died, all of whom required urgent operation, whereas only 1 (3.4%) of 29 . . . [Full Text of this Article]
AUTHOR INFORMATION
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
The Safety of Intra-abdominal Surgery in Patients With Cirrhosis: Model for End-Stage Liver Disease Score Is Superior to Child-Turcotte-Pugh Classification in Predicting Outcome
Alex S. Befeler, Dean E. Palmer, Martin Hoffman, Walter Longo, Harvey Solomon, and Adrian M. Di Bisceglie
Arch Surg. 2005;140(7):650-654.
ABSTRACT
| FULL TEXT
|
