Table 4.
Contraindications to elective surgery in patients with liver disease[11]
| Acute hepatitis | Chronic hepatitis |
| Alcoholic | Chronic severe hepatitis |
| Autoimmune | Class C cirrhosis |
| Uncontrolled Wilson’s disease | Uncontrolled portal hypertension with sequelae |
| Severe coagulopathy1 | |
| Systemic liver-related co-morbidities | |
| Hypoxia (POPH or HPS)2 | |
| Cardiac volume overload | |
| Hepatorenal syndrome |
1
Severe coagulopathy defined as platelets < 50 000/mm3 and prothrombin time prolonged beyond 3 s with no response to Vitamin K;
2
POPH: Porto-pulmonary hypertension; HPS: Hepatopulmonary syndrome.