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reply to post by schuyler
I can kinda get what you're saying, but yes, branding would involve deforming tissues unnecessarily, which would be harming the liver, even if just a little bit.
I think it's less of the objective, and more about the ethics. You just can't allow something like this.
As I understand it, the liver is one of the fastest healing tissues. It continuously recycles it's cells due to the fact that it has to process so much.
I'm surprised that a scar would remain on the liver for very long.
Maybe I'm wrong.
Any surgeons out there who might know if a burn scar stays visible on the liver?
reply to post by eletheia
Branding in no way helps to "perform the miracle". This is science. They are supposed to be held to strict, ethical standards, and the consequences of deviating from these standards are too high to allow.
You can't allow this, period.
It's absolutely unnecessary for the branding to be done.
The whole point is that this was without consent, and a clear breach of ethics.
If a doc told me he could save my life but really wanted to put a sig on his work, I'd say no. If he said that's cool, I'd chuckle and say go ahead.
This isn't about what you or I would do, it's about a doctor gone rogue and breaching ethical practice. He did this without consent. You might be okay with that, but I'd end the guy if he did it without my consent.
The initials were reportedly found by a colleague during a routine operation.
Mr Simon R Bramhall
Mr Simon R Bramhall, Consultant Hepatobiliary and Transplant Surgeon
Qualified from the University of Birmingham in 1988. Studied the molecular aspects of pancreatic cancer for MD, awarded 1997. Widely published on HPB and liver transplant surgery.
The importance of routine liver biopsy in diagnosing nonalcoholic steatohepatitis in bariatric patients.
Shalhub S, Parsee A, Gallagher SF, Haines KL, Willkomm C, Brantley SG, Pinkas H, Saff-Koche L, Murr MM.
Nonalcoholic Steatohepatitis (NASH) commonly occurs in obese patients and predisposes to cirrhosis. Prevalence of NASH in bariatric patients is unknown. Our aim was to determine the role of routine liver biopsy in managing bariatric patients.
Prospective data on patients undergoing Roux-en-Y gastric bypass (RYGBP) was analyzed. One pathologist graded all liver biopsies as mild, moderate or severe steatohepatitis. NASH was defined as steatohepatitis without alcoholic or viral hepatitis. Consecutive liver biopsies were compared to those liver biopsies selected because of grossly fatty livers.
242 patients underwent open and laparoscopic RYGBP from 1998-2001. Routine liver biopsies (68 consecutive patients) and selective liver biopsies (additional 86/174, 49%) were obtained. Findings of cirrhosis on frozen section changed the operation from a distal to a proximal RYGBP. The two groups were similar in age, gender, and BMI. The group with the routine liver biopsies showed a statistically significant larger preponderance of NASH (37% vs 32%). Both groups had a similar prevalence of cirrhosis. Neither BMI nor liver enzymes predicted the presence or severity of NASH.
Routine liver biopsy documented significant liver abnormalities in a larger group of patients compared with selective liver biopsies, thereby suggesting that liver appearance is not predictive of NASH. Liver biopsy remains the gold-standard for diagnosing NASH. We recommend routine liver biopsy during bariatric operations to determine the prevalence and natural history of NASH, which will have important implications in directing future therapeutics for obese patients with NASH and for patients undergoing bariatric procedures.
PMID: 14980034 [PubMed - indexed for MEDLINE]
reply to post by eletheia
From inflammation, not scarring.
You don't heal cirrhosis, or scarring of the liver.
If it would be healed so easily, you nor I would be having this conversation.
Has anyone missed the part where surgery is NOT a solo act?
Depending on the surgery, what it was for, and how complicated it might be, there could very well be half a dozen if not more present for any one single surgery.
n. pl. sur·ger·ies
1. The branch of medicine that deals with the diagnosis and treatment of injury, deformity, and disease by manual and instrumental means.
2. A surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue.
3. An operating room or a laboratory of a surgeon or of a hospital's surgical staff.
4. The skill or work of a surgeon.
5. Chiefly British
a. A physician's, dentist's, or veterinarian's office.
b. The period during which a physician, dentist, or veterinarian consults with or treats patients in the office.