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It is also known as hepatic transplantation. It is the procedure to substitute damaged liver with a healthy liver of the allograft. For end-stage liver disease and acute liver failure, the procedure of liver transplantation is undertaken. Liver Transplantation can be done either from the live donor or from new cadavers. In cadavers, donor undergoes surgery to get his or her part of liver removed to be transplanted into the recipient.

Patients that require liver transplantation or the patients that will die without liver transplantation are the candidates for liver transplantation.

1. AIDS (acquired immunodeficiency disease) 2. Cancer presently existing in an organ other than the liver 3. Metastatic cancer of the liver (advanced liver cancer that has spread to another organ)

4. Alcoholic liver disease coupled with failure to abstain from alcohol for the last six months 5. Severe active infection 6. Active substance abuse (for example, alcohol or heroin) 7. Irreversible brain dysfunction 8. Advanced heart or lung disease

1. Deceased Donor 2. Living Donor

The first step is the preliminary evaluation that helps patient and evaluation team to determine whether transplantation is an appropriate option for treatment.

Hepatologist, a liver specialist, evaluates patient's condition. A few tips that can be taken into consideration: Accompany yourself with a family member or support of medical tourism platform like MedMonks to help understand the significant amount of information you will receive about the transplant process.

▪ Computed tomography- That uses X-rays and a

computer to generate pictures of the liver, showing its size and shape

▪ Doppler ultrasound- To determine if the blood vessels

to and from your liver are open

▪ Echocardiogram and stress testing- To help evaluate

your heart

▪ Pulmonary function- It studies to determine your lungs'

ability to exchange oxygen and carbon dioxide

▪ Blood tests- To determine blood type, clotting ability,

and biochemical status of blood, and to gauge liver function. Serology screening is also included.

▪ The time duration of surgery is up to 12 hours. That is the

approximate time mentioned as it may take longer or shorter due to the level of complication in the procedure or the experience of the surgeon.

▪ The procedure of Liver Transplantation is undertaken under

the general anesthesia.

▪ Before the surgery, a tube is placed through the mouth of the

patient into wind pipe to help patient breathe during the operation.

▪ To remove the diseased liver Y-shaped incision in the

abdomen is done. Donated liver is then inserted and attached to the major blood vessels and to the bile ducts. The incision is closed at the end of surgery.

1. Orthotropic Transplantation- The procedure of Orthotropic Surgery involves replacement of diseased liver with the healthy liver (donor's liver). Donor's liver must be transplanted into receiver's within 12 to 18 hours. In the procedure, the diseased liver is removed from the four main blood vessels and other structures that hold that liver in the abdomen. The final connection is made in the duct that carries bile produced in the liver to the intestines called bile duct. 2. Heterotopic Transplantation- Surgery involves adding the healthy donor liver at another site and diseased liver is intact. The healthy liver is attached very close to the original liver When the diseased liver high possibility to recover only then Heterotopic Surgery is performed. If liver starts to get recover then the other organ shrinks away. If not, then the "original liver" shrinks away, and donor's liver performs natural bodily functions. 3. Reduced-size Liver Transplantation- This procedure is mostly performed on children and involves transplanting a portion of healthy liver into a patient. 15 to 20 % of the original liver is intacted. That way, one donor liver can be used for two successful implants.

▪ Regular visits (1-2 times) a week over about 3 months to ▪ ▪

transplant surgeon is essential. After a year a liver transplantation procedure, the follow-up care becomes individualized. Immunosuppression medications are essential as they keep the body from fighting off the new organ. Other medications might also be involved to control blood pressure etc. Mostly the patients are seen week in the initial months of post transplantation. In later stages the frequency is reduced over time. Other tests like abdominal scans, ultrasounds, and liver biopsies are performed in some patients to monitor health and liver functions. There are few dietary restrictions too that are supposed to be taken into consideration.

There exists a possibility that immune system rejects a newly transplanted organ considering that as a foreign object. The immune system attempts to get it rid of patient’s body. That is known as rejection. To prevent rejection anti-rejection drug is given to the patient.

▪ Liver Transplantation provide patient with a chance to

liver longer and active in life in the final stages of liver disease. ▪ Although liver transplantation is a major operation and the procedure of recovery can sometimes be severe but anti-rejection medication makes the procedure simpler. ▪ If liver disease is identified before the end stage liver disease and transplantation is undertaken then the chances to recover increases quickly. ▪ The donor get discharged in about a week and recipient in 2 to 3 weeks.

India is one of the perfect destination to consider for Liver Transplantation because of availability of veteran specialists, cutting- edge clinical solutions, research, extraordinary patient care and infrastructure of worldclass standards. Hospitals like Fortis, BLK, Rockland, Medanta, MAX, and Gleneagles Global are some of the top Healthcare providers in India. High success rates, affordability and best follow-up care make India one of the best countries to consider for Liver Transplantation.

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Liver transplantation in India - MedMonks - It is also known as hepatic transplantation. It is the procedure to substitute damaged liver w...

Liver transplantation in India - MedMonks - It is also known as hepatic transplantation. It is the procedure to substitute damaged liver w...