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Liver transplant in india at mumbai and delhi at affordable cost
1. Liver Transplant in India at Mumbai and Delhi at affordable Cost
Liver Transplant
Liver damage from cirrhosis cannot be reversed, but treatment can
stop or delay further progression and reduce complications. Treatment
depends on the cause of cirrhosis and any complications a person is
experiencing. Regardless of the cause of cirrhosis, it is essential that
every patient avoid all substances, habits and drugs that may further
damage the liver or cause complications or liver failure.
Alcohol, in addition to causing cirrhosis, may accelerate the progression of liver scarring. All
patients with liver disease should not drink any alcohol. Medications also may be given to
control the symptoms of cirrhosis.
Q. Who Needs a Liver Transplant ?
Medical treatment for liver diseases and liver damage is always the first choice of therapy. The
only reason to perform a liver transplant is that all other forms of treatment have been
unsuccessful, and the patient's liver can no longer support life. This is called end stage liver
disease.
2. Liver Transplant
There have been over 60 different liver diseases treated with liver transplantation. However,
there are several conditions that are more commonly treated with this procedure. They are
frequently conditions that cause chronic or continuing liver inflammation. As the inflammation
heals, fibrous tissue forms, much like a scar forms when a cut in the skin heals. Severe and
advanced scarring of the liver is called Cirrhosis. Cirrhosis is not reversible and leads to end
stage liver disease
Pre-Transplant Evaluation
Pre transplant tests are done to evaluate the severity of the liver disease. Once this initial
evaluation is complete, the case is presented to a review committee of physicians and other staff
members of the hospital.
A living donor / recipient may undergo some of the following tests before the
transplantation : -
• CT scan of the abdomen : - This is a computerized picture of the liver that allows the
doctor to determine the liver size and to identify any abnormalities, including liver
tumors, which may interfere with the success of a liver transplantation.
• Ultrasound of the liver : -This is a study that uses sound waves to create a picture of the
liver and the surrounding organs. It also determines how well the blood vessels that carry
blood to and from the liver are working.
• ECG : -Short for electrocardiogram, this is a study that shows the electrical activity of the
heart.
• Blood tests : -These include blood type, blood cell count, blood chemistries, and viral
studies.
3. • Dental clearance : - A person's regular dentist may fill out the form. Immunosuppressive
medications may affect the teeth; therefore, a dental evaluation is important before
beginning these medicines.
• Gynecological clearance : - The patient's gynecologist may provide clearance.
• Purified protein derivative (PPD) skin test : - The PPD test is performed on the arm to
check for any exposure to tuberculosis
Rejection
Rejection is a normal reaction of the body to a foreign object. When a new liver is placed in a
person's body, the body sees the transplanted organ as a threat and tries to attack it. The immune
system makes antibodies to try to kill the new organ, not realizing that the transplanted liver is
beneficial. To allow the organ to successfully live in a new body, medications must be given to
trick the immune system into accepting the transplant and not thinking it is a foreign object.
Preventing rejection: Home care also involves taking several medications to help the liver
survive and to prevent the patient's own body from rejecting the new liver. A person with a new
liver must take medications for the rest of his or her life. The immune system works to protect
the body from invading bacteria, viruses, and foreign organisms.
Unfortunately, the body cannot determine that the newly transplanted liver serves a helpful
purpose. It simply recognizes it as something foreign and tries to destroy it. In rejection, the
body's immune system attempts to destroy the newly transplanted liver. Without the intervention
of immunosuppressive drugs, the patient's body would reject the newly transplanted liver.
Although the medications used to prevent rejection act specifically to prevent the new liver from
being destroyed, they also have a general weakening effect on the immune system. This is why
transplant patients are more likely to get certain infections. To prevent infections, the patient
must also take preventive medications. There are 2 general types of rejection, as follows:
Immediate, or acute, rejection occurs just after surgery, when the body immediately recognizes
the liver as foreign and attempts to destroy it. Acute Liver rejection occurs in about 2% patients.
Delayed, or chronic rejection can occur years after surgery, when the body attacks the new liver
over time and gradually reduces its function. This occurs in 2-5% of patients.
4. Living with transplanted Liver Self-Care at Home
Home care involves building up endurance to carry out daily life activities and recovering to the
level of health that the patient had before surgery. This can be a long, slow process that includes
simple activities. Walking may require assistance at first. Coughing and deep breathing are very
important to help the lungs stay healthy and to prevent pneumonia. Diet may at first consist of
ice chips, then clear liquids, and, finally, solids. It is important to eat well-balanced meals with
all food groups. After about 3-6 months, a person may return to work if he or she feels ready and
it is approved by the primary doctor.
A successful liver transplant patient being counseled by the doctor and social worker Salt
(Sodium) While on steroids, try to restrict your salt intake by:
Exercise : It is important to have daily exercise routine to build up your muscles weakened by
illness. The Transplant Team will give you extensive information on living with a new liver and
We Care in association with the Liver Transplant team will be always available for any
communication after the transplant.
Liver Donor Liver Transplant
Living liver donation Introduction : -
Liver donation is possible from a living donor who is a relative of the recipient who can donate
half his/her liver. The donor operation is entirely safe and the half liver quickly regenerates in
both the donor and the recipient in a few weeks. In the first few days after operation even when
regeneration is not complete, the half liver is enough to maintain normal donor functions due to
the immense reserve in the liver.
5. Q. Who can be a Donor ?
• The person must donate of his/her own free will
• The person should be between 18-55 years and weigh between 50-85kg
• The person must be a close relative
• The donor and recipient blood group must match
• The donor liver structure / function, as well as the other systems must be normal
• Half of the donor liver must be enough in volume for the recipient
The suitability in the above respects and some other technical points is determined by the
Transplant Team in Pre-transplant donor evaluation which normally takes 2-3 days.
A number of tests, including blood and urine, will be required to verify that a potential donor is
entirely healthy and does not show evidence of liver disease or other conditions that may prevent
such a donation. A liver specialist, not involved in the care of the patient, is consulted to assess
the health and suitability of the potential donor. As with patients undergoing evaluation for a
6. liver transplant, potential donors will be interviewed by a social worker and a psychiatrist. Any
medical, social or psychological issues identified may preclude an individual from donating.
If the potential donor successfully passes the initial screening, then he or she will undergo more
extensive testing before the transplant surgery is scheduled. A special MRI of the abdomen will
be obtained to accurately assess the size of the liver, as well as other aspects of the patient's
anatomy. An angiogram (a picture of the blood vessels leading to the liver), and other pre-
surgery tests, such as an EKG and chest X-ray, will also be performed
Facts about liver donation surgery : -
• Modern liver cutting techniques using CUSA have made it safe and blood less
• Normal liver has immense reserve - nearly 70% of liver can be safely removed although
much less is removed
• Normal liver grows back very quickly - it can be restored to normal size after removal of
half the liver in just 2 weeks
Children's Liver Transplant
A liver transplant is recommended for children who have serious liver dysfunction and will not
be able to live without having the liver replaced. The most common liver disease in children for
which transplants are done is biliary atresia. Other diseases may include Alagille syndrome,
alpha-1-antitrypsin deficiency, Wilson's disease, hepatitis, and hemochromatosis.
7. Please log on to : http://www.indiahospitaltour.com
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surgery-india.html
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