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EdhaCare - Liver Transplantation Surgery In India


Liver Transplant - overview

A liver transplant is a procedure in which a patient's diseased liver is replaced with a healthy liver from another person. The surgeon removes a liver that is no longer functioning properly (liver failure) and replaces it with a healthy liver from a living or deceased donor in this surgery.

Liver cancer treatment, like other cancer treatments, is dependent on the stage of the condition.

In this scenario, the majority of India's best hospitals remove only the component that requires attention and employ multidisciplinary teams (MDTs).

Only when the entire liver is infected, then a liver transplant done.

This treatment involves the patient receiving a liver transplant from a donor.

When a family history of liver cancer, excessive drinking and smoking, diabetes, liver illness, low immunity, and other factors are identified, liver cancer treatment is undertaken.

Liver transplant - symptoms

In the early stages of primary liver cancer, there are no visible symptoms.

If you have end-stage liver disease, your doctor may suggest a liver transplant. Without a transplant, a person with this condition will eventually die.

If all other therapies for liver illness have failed to keep a person alive, a doctor may recommend a liver transplant.

For chronic liver illness or if the liver failure occurs quickly, liver transplants are advised.

Cirrhosis is one of the most common causes of liver transplantation in adults.

Cirrhosis replaces healthy liver tissue with scarred tissue.

Cirrhosis can be caused by the following:

  • chronic hepatitis B or chronic hepatitis C
  • nonalcoholic fatty liver disease
  • autoimmune hepatitis
  • alcohol abuse
  • biliary atresia, liver disease in newborns
  • metabolic disorders

Other criteria will be considered by your doctor when assessing whether or not you require a liver transplant.

These factors could include:
  • your overall physical condition
  • your mental well-being
  • the severity of your condition
  • other medical conditions you have
  • a history of tuberculosis and chronic infections like HIV
  • level of support from your family or friends

Liver Transplant - Pre-Procedure

You must bring all the previous reports, X-rays, liver biopsy slides, and a record of medications to your pre-evaluation for a liver transplant if your doctor suggests it.

Before surgery, some or all of the following tests and studies are performed to update previous tests.

If you're suitable for a liver transplant, you'll have to wait until a donor's liver becomes available.

The transplant will begin after the patient's liver and the donor's liver match.

The waiting time for adults is 142 days for a liver transplant, after which the specialist doctors meet with the patient's family to explain the entire process and the risks involved.

An agreement is signed in writing.

After all of the formalities are completed, the patient is placed on a "Nil by Mouth" diet, which means the patient only drinks fluid through an IV drip.

Liver transplant - During Procedure

Your liver transplant procedure will be performed by a team from India's premier liver hospital, including a haematologist, anesthesiologist, and paramedical support.

The process usually takes between 6 and 12 hours to complete.

A tube is attached to the ventilator and inserted into the lungs after all of the monitoring equipment have been placed and the patient has been given anaesthesia. The surgeon will remove the bile duct; the liver that needs a transplant is replaced with the donor's liver as the final part.

Liver Transplant - Post-procedure

You might expect a six-month or longer healing period after your liver transplant surgery before you feel completely recovered.

A few months following your surgery, you may be able to resume your typical activities or return to work.

The length of your rehabilitation depends on how sick you were before to your liver transplant.

Immediately after your liver transplant, you can expect to:

  • Possibly spend a few days in the intensive care unit.
  • Stay in the hospital for 5 to 10 days.
  • Have frequent checkups as you continue recovering at home
  • Take medications for the rest of your life

Liver Transplant - Risk & Complications

Generally, liver transplant treatment is very successful, but as with any treatment, there are risks and complications. These risks and complications include symptoms such as your body attacking the new liver (rejection), the new liver not working properly, a blockage or leak in one of your bile ducts.

Although liver transplant surgery is not a simple procedure, the bright side is that the success rate is high; nonetheless, one must be prepared for the outcome, which can be either favourable or negative.