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Liver Transplant

    About the Treatment

    Liver transplantation is the process of removal of the old or diseased liver with a new one. This procedure requires a donor. Liver transplantation is a legal surgical procedure that falls under the Transplant of Human Organ Act, 1994. This law was mainly framed to protect the rights of the organ donors so that they do not become victims of coercion in various social gatherings.

    • Liver cirrhosis
    • Long-term infection with hepatitis B and C virus
    • Overuse of alcohol over time
    • Autoimmune liver diseases
    • The buildup of fat in the liver
    • Hereditary liver diseases
    • Biliary atresia
    • Sudden liver failure (acute liver failure), due to high consumption of paracetamol
    • Liver cancers that have not spread outside the liver

  • Psychological and social evaluation such as stress, financial worries, and concern regarding the support from family and friends after the surgery.
  • Blood & Diagnostic tests. (Carried out to assist in finding a good donor)
  • X-rays
  • Ultrasounds
  • A liver biopsy
  • Dental exams
  • Liver function tests, total protein, albumin
  • Hepatitis screen (A, B, C)
  • Serologies - Cytomegalovirus (CMV), herpes simplex virus (HSV), Epstein-Barr virus (EBV), HIV
  • Tumor markers
  • Alpha-fetoprotein, cholinesterase
  • Arterial blood gasses
  • Others (selective) - Carbohydrate antigen 19-9, cancer antigen 125
  • Women may also have a Pap test, gynecology exam, and a mammogram.

 

For A Donor:

  • Blood tests
  • CT Scan
  • MRCP
  • Viral tests
  • Chest X-ray

  • Both donor and recipient shall be admitted to the hospital at the same time.
  • A liver transplant involves
  1. The removal of and preparation of the donor's liver
  2. Elimination of the diseased liver
  3. Implantation of the new organ to resume blood flow and to drain bile from the liver.
  • Surgery can take approx. 12 to 20 hours.

  • Hospital stay is around 30 days to watch out for the working of the new organ.
  • Your heartbeat, blood pressure, breathing rate, oxygen level, etc. will be monitored.
  • You will be on ventilator
  • A thin plastic tube might be inserted through your nose into the stomach to remove the swallowed air. The tube shall be removed when your bowels start working normally again. You won’t be able to eat or drink until the tube is removed.
  • Blood samples will often be taken to check your new liver.
  • Your anti-rejection medicines will be closely observed to ensure that you are getting the right dose and the right mix of medications.

Liver surgery complications

  • Bleeding
  • Infection
  • Blocked blood vessels to the new liver
  • Leakage of bile or blocked bile ducts
  • The new liver might be unfunctional for a short time right after surgery
  • Fever
  • Redness, swelling, or bleeding or some other drainage from the incision site
  • Pain around the incision site.
  • Vomiting
  • Diarrhea
  • Damage to the bile ducts is possible

Symptoms of rejection include:

  • Fever
  • Itching
  • Dark-colored urine
  • Jaundice
  • Swollen or sore belly
  • Fatigue
  • Being easily annoyed
  • Headache
  • Upset stomach

Immunosuppressive medication side effects

  • Infection
  • Weight gain
  • High blood pressure
  • High blood cholesterol
  • Diabetes
  • Brittle bones
  • Kidney damage
  • Oral yeast infection (thrush)
  • Herpes
  • Respiratory viruses

Rejection symptoms

  • Loss of appetite
  • Feeling tired
  • Fever
  • Pain around the liver
  • Jaundice
  • Dark-colored urine
  • Light-colored stools

Relihealth, with its holistic approach, supports the patients throughout their medical travel in India. We are associated with a team of best medical professionals and state-of-the-art facility hospitals to provide multi-disciplinary care for your liver. We possess the capability to facilitate treatment for even the most complex liver diseases at an economical cost which in turn makes us a preferred choice in India.

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