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What is According to Pugh's classification moderate to severe hepatic insufficiency is managed by ? and explain in detail?
Ans. is 'c' ie. Ohoptic liver transplantation Child-Pugh's classification is used to assess the status of pt. of liver cirrhosis. A liver cirrhotic pt. having variceal bleeding or ascites can be controlled by shunt surgery only if he falls in ChildPugh's 'A' class (or some pts. of B class). Moderate to severe grade liver insufficiency can only be managed by liver transplantation.