Liver transplantation in India - MedMonks

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Liver transplantation in India
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What is liver transplantation

• 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.

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Eligible candidates for liver transplantation

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

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Pupil suffering from the following disease are
not eligible

• 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

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Who all are donors for liver transplantation

• 1. Deceased Donor
• 2. Living Donor

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Preparation for liver transplantation

• 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.

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Evaluation and tests for liver transplantation

• 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.

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Procedure for liver transplantation

• 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.

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Types of liver transplantation 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.

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Follow-up care to be taken post liver
transplantation

• 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.

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WHAT IS LIVER TRANSPLANTATION REJECTION ?

• 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 patients body. That is
  known as rejection. To prevent rejection
  anti-rejection drug is given to the patient.

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Advantages of Liver Transplantation

• 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.

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Hospitals for liver transplantation in India

• 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 world-class
  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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• Contact Details-
• MedMonks Medicare Pvt. Ltd.
• Address 503,Pearls Business Park
• Netaji Subhash Place,
• New Delhi 110034
• Ph No 8448494488 (Your Local Country Charges
  Apply)
• Email wecare_at_medmonks.com
• Website https//medmonks.com/liver-transplant-ind
  ia

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