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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 Gurgaon 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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Gurgaon, officially named Gurugram, is a city in the northern Indian state of Haryana. It’s one of the major satellite cities of Delhi and is part of the National Capital Region of India. The city is one of the fastest-growing cities in the country and is a leading financial center after Mumbai and Chennai. Its skyline is dominated by skyscrapers, with upscale shopping malls per square mile, all types of restaurants, and a brand new metro system. Gurgaon is also fast becoming a global medical tourism hotspot as it provides top medical care at affordable prices. Numerous medical centers in the city are accredited by the National Accreditation Board of Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI). These medical centers are equipped with advanced technology and qualified specialists, allowing them to deal with complicated cases. Most medical tourists, particularly from the Middle East and Africa, come to the city to undergo cardiology, knee replacement, gastric bypass, and cosmetic surgeries.
There are museums and temples as main attractions. History enthusiasts, especially those who are interested in automobiles, should visit the Heritage Transport Museum. It has a huge collection of pre-modern and modern cars, as well as palanquins, bullock carts, howdahs, and boats. The most popular attraction in the city is the Kingdom of Dreams, which is India’s first live entertainment zone that offers theater and leisure activities. It allows visitors to indulge in India’s cultural heritage through drama and music. Other popular places in the city are Sultanpur Bird Sanctuary, Damdama Lake, and Cyber Hub.
Delhi’s Indira Gandhi International Airport is conveniently located just across the border of Gurgaon, which makes it easier for international tourists to visit the city. The city is improving its public transport system and there are intercity minibusses, Rapid Metro Gurgaon, and cycle rickshaws. Taxis are widely available and are reasonably priced.
Visas in Gurgaon
Holders of passports issued by Maldives, Bhutan, and Nepal, are allowed to visit and stay in India without a visa. Nationals of other countries are required to obtain a visa. Citizens of South Korea, Japan, and the UAE can apply for a visa on arrival. Citizens of 150 countries are eligible to apply for an e-Visa.
Weather in Gurgaon
Gurgaon experiences several seasons with a high variation of temperature between summer and winter. Summer (April to June) can be very hot, with the average temperature rising to 32°C, sometimes even as high as 46°C. From June to mid-September is monsoon and the temperatures will fall to an average of 29°C, but it’s humid and rainy. In winter, starting from November to March, the temperature drops to an average of 6°C.
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