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Dr Helen Mackay was an absolute angel, and fixed me up so swiftly and with so much care and humour ❤️
What a fantastic hospital to attend for Surgery, just back from a Full Hip Operation, everything was so detailed, the Staff, Nurse's / Doctors / Catering Staff, were all so friendly, Thank you all so very much. I would highly recommend it for any procedures.
I forgot to say thank you to the receptionists yesterday and I feel so bad because they really provided great communication. Procedure meant I couldn’t see a family member, but still I’m appreciative nevertheless. Thank you NHS!
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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 United Kingdom 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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The United Kingdom is a constitutional monarchy comprising much of the British Isles. This Union is more than 300 years old and comprises four constituent countries: England, Scotland, Wales, and Northern Ireland. It occupies all of the island of Great Britain, the north-eastern portion of the island of Ireland, and most of the remaining British Isles. The UK is an island nation but shares an open land border with Ireland. The UK has a population of 65 million people, the capital and largest city is London.
The United Kingdom welcomes an ever-increasing number of medical tourists each year, many of which travel for Liver Biopsy procedures. The government provides all British citizens free or low-cost care under the NHS, also known as the National Health System, leaving a small private sector for routine operations, which caters to people that do not want to wait in line for elective procedures or are not citizens or residents of the Islands.
Made up of Great Britain and Northern Ireland, the United Kingdom is filled with vibrant cities and tranquil countryside.
The United Kingdom enjoys a temperate climate and has plenty of rain all year round. Tourists can visit any time of year as it does not experience extreme weather. There is a great variety of changeable weather, but the overall weather and seasons are generally the same throughout this sovereign country.
There are plenty of airports in the United Kingdom, but the busiest and the largest airport is the London Heathrow Airport. It is the second busiest airport in the world after Dubai Airport. The airport has international connections with almost every country around the globe, including countries in the Middle East, Asia, Africa, and North America. It also serves domestic flights which provide an easy way to travel around the United Kingdom. There are budget airlines that offer a more affordable option for those who want to get around by plane.
The United Kingdom is very well connected by plane, train, and bus. The train is the most popular mode of transport and one of the most comfortable. Tickets can be booked online and it can be expensive, but most trains are equipped with air conditioning and sometimes Wi-Fi. There are two classes of train, the Standard Class and the First Class. Big cities and towns are usually connected by a regular bus service. The cost can be cheap, but the further you travel away from a city, the more expensive the cost. It is best to invest in an Oyster Card if you wish to travel by bus.
Taxis are available in most cities. There are two types of taxis; the metered taxis (painted in black) and private hire taxis (known as minicabs). The taxis should have a taxi-license displayed on the dashboard. The metered taxis can be hailed directly from the streets, while the minicabs have to be ordered via telephone. The minicabs are usually more affordable than the metered taxis because they operate on fixed prices and sometimes are even open to negotiation.
Citizens of the European Union can enter the United Kingdom without a visa. Additionally, British Nationals who are not European Union citizens and nationals of 56 countries can enter and stay for up to 180 days (90 days if they enter from the Republic of Ireland). Citizens of Kuwait, Oman, Qatar, and the UAE can obtain an online electronic visa waiver (EVW). Other nationals not listed in the visa-exempt for stays in the UK (including China and Russia) need to apply and obtain a visa before entering the country.