This presentation is related to Liver Transplant, Liver Failure, It's causes and remedy.
Here we also talk about liver transplant scenario in india and success rate of liver transplant both cadaver or living donor.
We also give a brief about the cost of liver transplant.
Dr. Abhideep Chaudhary, is liver transplant consultant/surgeon at Sir Ganga Ram Hospital, New Delhi, India.
Email : drabhideep@yahoo.com , care@drabhideep.com
Liver transplantation current status, controversies and mythsAbhishek Yadav
Details the present status, indications, techniques about liver transplantation. Also dispels some common myths surrounding liver transplantation. #liver transplantation # living donor liver transplantation #liver cirrhosis #liver failure#transplantation#live donor#drabhishekyadav.com#liversurgeon#myths#livedonorlivertransplantation#organtransplantation#alcohololiverdisease
Liver transplantation indications, contraindications, types of donors and recipients, types of transplants, surgical options, and post transplant management.
Liver transplantation current status, controversies and mythsAbhishek Yadav
Details the present status, indications, techniques about liver transplantation. Also dispels some common myths surrounding liver transplantation. #liver transplantation # living donor liver transplantation #liver cirrhosis #liver failure#transplantation#live donor#drabhishekyadav.com#liversurgeon#myths#livedonorlivertransplantation#organtransplantation#alcohololiverdisease
Liver transplantation indications, contraindications, types of donors and recipients, types of transplants, surgical options, and post transplant management.
History of liver transplant.
Why and When liver need to be transplant ?
What at basic requirements in LT.
Success and Failure %age
Global statistics of organ donation
Laparoscopic Liver Resection : What to do and not do
Chirurgie laparoscopique du foie : indications et limites actuelles
Pr Daniel CHERQUI
Journées du Centre Hépato-Biliaire - JCHB 2019
Journées de Chirurgie
Liver failure after major hepatic resection.pptxGian Luca Grazi
Liver failure after hepatic resection has a multifactorial origin. However, the volume of the removed liver, technical problems during the procedure and the development of infections in the post-operative period certainly play a primary role.
The surgeon plays an important role in implementing all those surgical and radiological procedures to prevent the onset of this severe complication.
However, the treatment of liver failure that occurs after a hepatectomy requires multidisciplinary management, including intensive care physicians, neurologists, nephrologists, and others.
In order not to incur in the failure to recognize the complication and to avoid not implementing all the therapeutic measures necessary for the treatment of post-resection liver failure, it is essential that the hospital where the operation is performed is equipped with all professionalism and all the necessary technological tools.
These are the characteristics needed to define where liver surgery can be performed safely.
Involves the principles of organ transplantation - basics of immunology and organ donation, preservation and eventual transplantation in the recipient.
Brief description of hepatectomy with indications, procedure, pre operative, intra operative and post operative management of the patient. Also describes the various techniques and instrument available for liver resection.
History of liver transplant.
Why and When liver need to be transplant ?
What at basic requirements in LT.
Success and Failure %age
Global statistics of organ donation
Laparoscopic Liver Resection : What to do and not do
Chirurgie laparoscopique du foie : indications et limites actuelles
Pr Daniel CHERQUI
Journées du Centre Hépato-Biliaire - JCHB 2019
Journées de Chirurgie
Liver failure after major hepatic resection.pptxGian Luca Grazi
Liver failure after hepatic resection has a multifactorial origin. However, the volume of the removed liver, technical problems during the procedure and the development of infections in the post-operative period certainly play a primary role.
The surgeon plays an important role in implementing all those surgical and radiological procedures to prevent the onset of this severe complication.
However, the treatment of liver failure that occurs after a hepatectomy requires multidisciplinary management, including intensive care physicians, neurologists, nephrologists, and others.
In order not to incur in the failure to recognize the complication and to avoid not implementing all the therapeutic measures necessary for the treatment of post-resection liver failure, it is essential that the hospital where the operation is performed is equipped with all professionalism and all the necessary technological tools.
These are the characteristics needed to define where liver surgery can be performed safely.
Involves the principles of organ transplantation - basics of immunology and organ donation, preservation and eventual transplantation in the recipient.
Brief description of hepatectomy with indications, procedure, pre operative, intra operative and post operative management of the patient. Also describes the various techniques and instrument available for liver resection.
Background of organ transplant infrastructure in the US. Some history. Definitions. Nursing Care of the transplant patient in hospital, and home settings. Intended for senior level nursing students in an ADN program
Best Liver Transplantation, Liver Treatment and Liver Transplant Hospitals in Hyderabad, Bangalore, Chennai and Mumbai
Global Hospitals India’s leading Multi-Specialty, Multi-Organ Transplant Centre with locations in Hyderabad, Chennai, Bangalore and Mumbai. The hospital is home to the Institute of Liver, Pancreases Diseases and Transplants that is the foremost liver transplant facilities in the country with expertise for both live-donor and cadaver transplants.
The hospitals offers state-of-the-art infrastructure alongside a team of high-skilled doctors - with competencies to treating a wide array of liver-related ailments and emergencies.
Global Hospitals is the leading tertiary healthcare provider and has pioneered several advanced liver transplant surgeries. Acomprehensive liver disease and transplant centre - the institute has successfully performed over 600 transplants.
Comprising of some of the best known transplant surgeons, the state-of-the-art infrastructure facility delivers best post-operative care for complex hepatology cases and Hepatobiliary Surgeries, including Hepatitis C, Liver Cirrhosis, Fatty Liver Disease and others
Immunosupuression in adult liver transplantation Abhishek Yadav
Basics about immunosuppressive drugs in liver transplantation and protocols for immunosuppression in adult liver transplantation. Discusses the basic immunology of transplant, common drugs and protocols used in special scenarios in transplantation.
cost of Liver Transplant surgery in IndiaBhupesh Kumar
Know all the information about Liver Transplant in Delhi, India and the Cost of Liver Transplant in India. You will find the details about the process of the treatment and the advantages as well as disadvantages associated with it.
Will someone from the family gift your child their liver?Jia Maheshwari
Never say never - never lose hope. You never know when a liver donor will be found and be a blessing for your family member suffering from end stage liver disease. But a lot of caution and care is required to guard against increasing instances of post surgery complications such as ones related to the biliary tract.
Living donor liver transplantation (LDLT) is performed all over the world today. The shortage of cadaveric grafts makes it the only option for many end stage cirrhotics in many countries. Donor hepatectomy is a complicated operations and this has raised concerns about the safety of this operation. However, today donor hepatectomy is a safe operation with a low incidence of complications.
cDR SUDHASATTWA SEN is a senior consultant and former head of the department. He also supervises Dept. Of GI HPB Surgery and GI HPB ONCO SURGERY at AMRI HOSPITAL, Dhakuria, Kolkata. Besides this, he is a JT director and Senior consultant of GI HPB and GS Department at Medica Super speciality Hospital, Kolkata (Former). Before joining the Medica family formerly; He was a senior consultant at Apollo Gleneagles, Fortis Kolkata, and Belle Vue Kolkata, CMRI, Woodlands, EEDF &SASK.
Dr. Sen’s achievements in each and every division of the medical field are commendable which made him win the award for best laparoscopic surgeon in Kolkata. He is also known as a top colorectal specialist in Kolkata. He has done a commendable job in treating acute gastrointestinal diseases and providing the best quality of services to his patients and also handles complicated gastro issues. Dr. Sen has performed many successful surgeries and has proved his mastery in the medical field by saving thousands of lives.
Liver transplant surgery is a procedure in which the defective liver of the patient is replaced by the healthy liver of another person who is also known as the donor. Rising Health Care provides the best medical services to patients searching for a top liver hospital in India.
Best liver transplant doctors in Delhi,India at affordable pricesSanjay Negi
http://www.delhilivertransplant.com provides liver transplant treatment in Delhi, India. Our doctors look into various causes for liver transplant like cirrhosis, Hepatitis B. The department is lead by Dr Sanjay Singh Negi who blogs at http://www.drsanjaynegi.com
Liver transplant (LT) is becoming the need of the hour and often the last ray of hope for many of our cirrhotic patients. The dearth of deceased donors, acceptance of living-related donors, better operative skills, and post transplant outcomes have played an important role is making LT accessable to more and more needy people. However, for best outcome it is important to stick to the established criteria laid down for listing a patient for LT for both best outcomes and better distribution of donor livers.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
3. Largest & Most massive internal organ
Position :
• Upper right part of abdomen behind ribs
Weighs : 1.2 to 1.5 kg
Performs > 500 different functions in
body
Natural regeneration capacity due to
hepatocyte function
• Long term repeated exposure however
causes liver damage & may finally cause
liver failure
http://hypertextbook.com/facts/2004/MaryPennisi.shtml *
4. I am a non-complainer
I can't and won't tell you I'm in trouble until
I'm almost at the end of my rope... and yours.
Your….. Liver
7. Acute Liver Failure
Alcoholic cirrhosis
◦ Represents the most common cause of cirrhosis5
◦ Accounts for 40% of US deaths from cirrhosis5
HCV
◦ HCV is the most frequent diagnosis in patients
undergoing liver transplantation1
◦ Viral recurrence is nearly universal, with up to 30%
of patients progressing to cirrhosis1,2
HBV
HCC
◦ Accounts for 90% of all liver cancers3
◦ Causes 50% to 70% of liver-related mortality
among patients with cirrhosis4
◦ Incidence and mortality is rising4
Viral
hepatitis (40%)
Alcoholic
hepatitis (32%)
Primary biliary
cirrhosis (10%)
Unknown (7%)
Viral + alcoholic
hepatitis (5%)
Autoimmune hepatitis (4%)
Other causes (2%)
Causes of cirrhosis
Source: CDC. Slide 45.
ftp://ftp.cdc.gov/pub/infectious_diseases/hepatitis/slides/technote.t
xt.
HCV = hepatitis C virus; HCC = hepatocellular carcinoma; HBV = hepatitis B virus
1. Berenguer M, et al. Hepatology. 2002;36:202–10; 2. Berenguer M, et al. J Hepatol. 2001;35:666–78; 3. Jelic S, Sotiropoulos GC. Ann
Oncol. 2010;21 (Suppl 5):v59–64; 4. Varela M, et al. Liver Transpl. 2006;12:1028–36; 5. Murray KF, Carithers RL. Hepatology.
2005;41:1407–32 7
10. In last 40 years, Liver Transplantation has
evolved from an experimental procedure to a
definite treatment option for patients with
acute liver failure and end-stage liver disease
11. Long-term survival of liver transplant recipients has
become the rule rather than the exception
12. Chronic Liver Disease - One of top ten cause of
death in India
About 2,00,000 Indians die of liver failure
every year.
25,000 liver transplants need to be done every
year in India.
Only 1,100 transplants performed in India
every year
13. Region Rate of LTs
Developed West 12-32 per million
India - future 20/million (25000/yr)
realistic – 5000/yr
India- current 0.06 per million (2010)
(320, 500, 750 transplants in 2008, 2009,
2010)
16. Success rate
Disease progression
Donor availability
Cost
Disease recurrence
Compliance with post operative restrictions
Why No ?
17. Determine the need for transplant
Confirm all effective treatments have been
exhausted
Assess whether patient is an appropriate candidate
When to Consider Transplantation?
18. Timing of the transplant -- from the initial
referral to the actual surgery-- can have a
profound impact on outcome.
When patients undergo a transplant before
multisystem complications of ESLD have a
chance to develop, their prognosis is excellent.
However, in severely debilitated patients,
survival decreases by 20% to 30%.
19. Patients with cirrhosis should be referred for a
transplant when they develop evidence of synthetic
dysfunction, experience their first major
complication or develop malnutrition
Waiting to refer patients until they have
intractable ascites or hepatorenal syndrome
frequently results in death before a transplant can
even occur
Patients with HCC and cirrhosis should be referred
as soon as the tumor is discovered
Patients with FHF can deteriorate rapidly, so
should be referred as soon as the diagnosis is
suspected
20. When medical therapy is effective in stopping
the progression of liver disease,
transplantation may be avoided or delayed
21. Expensive surgery (18-20 lac rupees)
Cost cutting measures
Avoid technical complications
Decrease transfusion requirements
Use medications of proven efficiency
Cost
22. Liver transplant surgery carries a risk of
significant complications, including:
Bile duct complications, including bile duct leaks
or shrinking of the bile ducts
Bleeding
Blood clots
Failure of donated liver
Infection
Memory and thinking problems
Rejection of donated liver
23. For those in whom prolonged abstinence and
medical treatment fails to restore health,
transplantation may be considered.
Patients who continue to drink alcohol despite
medical advice are not considered for
transplantation
25. Patient needs medication to protect the new
liver from rejection
These medications however reduce both in
dosage and number as time passes and the
immune system gets used to the new liver
26. Most liver transplant recipients are able to
return to a normal and healthy lifestyle
Most report that they feel re-energized, have
an improved quality of life and enjoy everyday
activities once more
Liver transplant recipients are able to
participate in normal exercise after their
recuperation and women are able to conceive
and have normal post-transplant pregnancies
and deliveries
28. 1.3 billion population
HOTA (Legal Act)
since 1994
Liver used in only
40-50%
Donation< 0.03 per
million (20-35 per
million – west)
No. of deceased donors per year
30. Any person above the age of 18 years can
legally donate his part of liver however in India
as per Human Organ Act 1994, liver donation is
restricted to family members(brother, sister,
father, mother, son daughter) or close
relatives (Uncle, aunt, cousin, brother-in-law,
sister-in-law, grand parents)
Medically the liver donor should have a
compatible blood group and should be me
medically fit and psychologically sound
31.
32. Liver transplantation
is possible due to the
amazing regenerative
capacity of human
liver
Both donor and
recipient eventually
lead normal lives post
procedure
33. Right hepatectomy complex surgery
Bile leak well recognized complication
Wound pain quite common
Psychological trauma in case of recipient death
Overall risk -0.1-0.2%
The risk to living liver donor
34. Donor usually discharged within 7-10 days
Donor can resume his normal activity within 3-4
weeks and resume his job within 6 weeks time
No special precautions are needed for donor
after about 4-6 weeks and he lives a normal life
thereafter
35. Don’t drown me in
alcohol
Watch those drugs, can
harm me. No
medications without
consulting doctor
Don’t eat too much of
fatty food.Get Shots against
Hepatitis A and B
Don’t have unsafe sex,
don’t share
needles/syringes,
personal items like