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A liver biopsy is a medical procedure performed to collect a small piece of liver tissue, so it can be examined closely under a microscope for signs of disease or damage. This procedure is usually carried out to detect the presence of abnormal cells in the liver, such as cancer cells. Your doctor may suggest a liver biopsy if the result of your blood tests or imaging studies shows that you might have a problem in your liver. Although biopsies are usually associated with cancer, it does not necessarily mean that you have cancer if your doctor recommends this test.
A liver biopsy is most often used to:
Identify the cause of unexplained jaundice (yellowing of the skin), persistent abnormal liver blood tests (liver enzymes), a liver abnormality found on CT scan, ultrasound, or nuclear scan, as well as unexplained enlargement of the liver
Determine the severity of the liver disease
Grade and stage hepatitis B and C
Monitor the liver after a liver transplant
Help develop the best treatment for liver damage or disease.
Laparoscopic biopsy
Laparoscopic biopsy uses a laparoscope, which is a tube-like instrument with a tiny camera attached to it, to collect the sample.
Before the laparoscopic biopsy, you will be given a general anesthetic. Your doctor will create several tiny incisions in your abdomen. The laparoscope and special surgical tools are inserted through these incisions. The camera within the laparoscope projects images on a monitor. Your doctor uses these images to guide the surgical tools to your liver to take some tissue samples. When the samples are taken, the tools are removed and the incisions are closed with stitches.
Transjugular biopsy
To start the procedure, a small numbing medication is applied to one side of your neck. Your doctor will then create a small incision at the numbed area and then inserts a thin, flexible tube through the incision into your jugular vein. The tube is then guided through the jugular vein and into the hepatic vein (the large vein in your liver). Once the tube reaches your hepatic vein, your doctor will inject a contrast dye into the tube and creates a series of X-ray images. The contrast dye will show up in the vein, which enables your doctor to clearly see the hepatic vein. Afterward, a biopsy needle is inserted through the tube to take the liver sample.
Percutaneous biopsy
Percutaneous biopsy, also known as a needle biopsy, is the most common type of liver biopsy. It involves the use of a thin needle through your abdomen and into the liver. To start the procedure, your doctor will tap your abdomen or use ultrasound images to locate your liver. Ultrasound is sometimes used to guide the needle into the liver. Your doctor will apply a numbing medication and then creates an incision near the bottom of your ribcage. The needle is then inserted through the incision and your doctor will remove a small tissue sample.
You can leave the hospital on the same day as the procedure. However, since it takes around a week until the result of your biopsy comes back from the pathology lab, plan to stay in Cyprus for about 7 days. Once the result is ready, you will have to attend a follow-up appointment to discuss the results with your doctor. If everything is fine, you will be allowed to travel home afterward.
You need to take it easy and rest for at least 1 day. You should be able to resume your normal activities after a few days. However, avoid strenuous activities and heavy lifting for a week following your liver biopsy.
Your doctor will give you detailed aftercare instructions that you need to follow. In general, you need to avoid taking aspirin or products that contain aspirin for a week. Your doctor will prescribe pain medication to help with your discomfort, make sure to take them as directed.
A liver biopsy is a safe procedure with high success and accuracy rates. Although it is safe, there are still some possible risks and side effects that you will need to be aware of. These include:
Bleeding
Pain
Infection
Injury to a nearby organ.
A transjugular biopsy carries very rare risks of hematoma in the neck, puncture of the lung, temporary voice problems, and temporary problems with the facial nerves.
In some cases, your doctor may be able to make a diagnosis of liver disease based on physical examination, medical history, and blood testing. Doctors may also use imaging techniques as an alternative to liver biopsy. The simplest imaging technique that’s used is elastography (mostly known as FibroScan), which is similar to an ultrasound and can measure the stiffness of a liver.
Before a liver biopsy, you may experience unexplained symptoms and your doctor may not be able to make an accurate diagnosis of your problem. After the procedure, your doctor should be able to make a diagnosis and know for sure the condition of your liver. The results will allow you and your doctor to create a treatment plan.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Cyprus is an island country in the Mediterranean Sea. The country is famous for its mineral wealth, splendid wines, dazzling beaches, and compelling culture. In addition, Cyprus is filled with classical ruins and century-old monasteries, and as the legendary birthplace of Aphrodite, it is also steeped in mythology. Due to its huge array of modern private medical centers equipped with excellent service, cutting-edge technology, and skilled doctors, Cyprus is also a thriving medical tourism destination. Foreign patients from all around the globe come to this country for a vast range of medical treatments, particularly bariatric surgery, cardiology, cosmetic and plastic surgery, and fertility treatments. Its spa and well-being resorts are also welcoming an increasing number of international medical tourists.
The majority of tourists start their trip to Cyprus in Larnaca, it is the oldest city in Cyprus. It has a vast array of historical monuments, including Ayios Lazaros (the Church of Saint Lazarus), Stavrovouni Monastery, and Larnaca Medieval Castle. Besides its ancient buildings, Mackenzie Beach and Larnaca Marina are also popular among tourists. Not too far from Larnaca is Paphos, a charming city with exquisite natural beauty and all sorts of ancient ruins. The most popular attractions in this city include the Tombs of the Kings, the Old Town, Early Christian Basilica-St Paul’s Pillar, and Paphos UNESCO Archaeological Park. Nicosia, Cyprus’ capital, is also a popular destination.
Cyprus experiences a Mediterranean climate with four seasons and over 300 days of sunshine a year. The summer is long, warm, and dry, lasting from mid-May to mid-October. The winter starts in December and ends in February, bringing mild temperatures and more rain showers. Autumn and spring are short, but there is good weather.
The main international gateway to Cyprus is Larnaca International airport. It serves international flights to many cities around Europe and the Middle East, including Kyiv, Abu Dhabi, London, and Moscow. In the south, the intercity bus system is reliable and great, but in the north, the bus services are often unreliable and do not seem to follow a timetable. Taxis are a safe and relatively inexpensive option. In the south, there are three types of taxi services: urban, trans-urban or interurban (shared and can be booked), and rural. In the north, taxis are only available in the main towns. Inside towns, buses are the best way to get around for those looking for a more affordable option. Taxis are more expensive, but they do offer more flexibility.
Nationals of EU countries, the United States, Australia, Canada, Britain, Iceland, Japan, and several other countries do not need a visa to visit and stay in Cyprus for up to 90 days. Other countries not listed in the visa-free agreement need to apply for a visa before entering Cyprus. It is best to consult the Cypriot Ministry of Foreign Affairs or contact the embassy to learn more about visa requirements.