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Contraindications to elective surgery in patients with liver disease

Contraindications to elective surgery in patients with liver disease
Acute alcoholic hepatitis
Acute liver failure
Acute viral hepatitis
Child-Pugh class C cirrhosis
Severe chronic hepatitis
Severe coagulopathy (prolongation of the prothrombin time >3 seconds despite vitamin K administration; platelet count <50,000/mm3)
Severe extrahepatic complications
Acute renal failure
Cardiomyopathy, heart failure
Hypoxemia
Reproduced with permission from Friedman LS. The risk of surgery in patients with liver disease. Hepatology 1999; 29:1617. Copyright © 1999 Elsevier Science.
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