Interventions Liver Disorders: Causes, Symptoms and Treatment | Max Hospital
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555


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There are three types of interventions that are done in liver disorders:

  • Percutaneous Transhepatic Biliary Drainage ( PTBD )
  • Transjugular Liver Biopsy ( TLB )
  • Transjugular Intrahepatic Portosystemic Shunt ( TIPS )


It is indicated in cases where the outflow of bile from the liver into the intestines is obstructed. The obstruction can be caused due to stones or tumor or enlarged lymph nodes. The patients typically present themselves with yellowish discolouration of skin, urine and eyes. It is a highly effective procedure to establish drainage for the bile from the liver, thereby providing relief to the patient.

The procedure involves puncturing the dilated bile channels through the skin and placement of a drainage tube in the biliary system, thereby creating an alternative channel for drainage of the bile. Plastic or metallic stent can be placed through the obstruction to keep the outflow tract open to allow free drainage of bile. It is a safe and cost-effective day care procedure in which the patient is discharged on the same day.


This procedure is indicated for taking a tissue sample from the liver to establish cause and effect of liver disease. It is indicated in patients where tissue sample cannot be taken by the normal method of direct puncture through the skin due to uncorrectable blood thinning, massive ascites (fluid in the abdomen), morbid obesity or shrunken liver.

In this procedure, biopsy of the liver is taken from within the body (inside out approach). The liver is accessed through a small puncture in the vein of the neck. The chances of life threatening complications are reduced drastically. The patient needs to stay overnight in the hospital.


This procedure establishes an alternative channel of blood flow within the liver. TIPS is most commonly performed for prevention of recurrent gastroesophagealvariceal haemorrhage ( bleeding from the mouth in patients with liver disease) or refractory ascites ( fluid in the abdomen) in patients with severe portal hypertension as these conditions cannot be managed by endoscopic methods successfully. It is also been used as ”bridge” to liver transplant.

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