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Surgical Management of Complications of   Cirrhosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Cirrhosis – 1 Portal HTN Gastro- oesophageal  varices Bleeding Congestive Splenomegaly (Hypersplenism) Ascites
Complications of Cirrhosis – 2   Cirrhosis Fulminant Hepatic failure Hepatic (Porta-systemic) encephalopathy
Untreated
Surgical Anatomy
Surgical Mx – Direct – Control of Bleeding Varices ,[object Object],[object Object],[object Object]
Surgical Mx – Direct – Control of Bleeding Varices ,[object Object],[object Object],[object Object],[object Object]
Surgical Mx – Direct – Control of Bleeding Varices ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Mx – Indirect – Reduction of Portal Pressure / Flow ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Surgical Mx – Indirect – Reduction of Portal Pressure / Flow
[object Object],[object Object],[object Object],[object Object],Surgical Mx – Indirect – Reduction of Portal Pressure / Flow
Surgical Mx – Intractable Acute Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Mx – Miscellaneous ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Cirrhosis Complications - Surgical Mx