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Liver Replacement Tips

How To Manage Your Lifestyle & Diet Post Liver Transplant?

Dr. Ankur Garg 88% (525 ratings)
M. Ch.(HPB Surgery & Liver Transplant), FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Mumbai
How To Manage Your Lifestyle & Diet Post Liver Transplant?

After undergoing a successful liver transplant surgery, one should definitely feel elated, but anxiety is also accompanied during the first few weeks of surgery. There might be few problems in the initial period of time post-surgery, but most of the patients can live a normal lifestyle and carry out all the activities after 3 months with full efficiency. The patients can continue their work, raise their children, take care of their family members, and serve the community and can carry out all the physical activities such as playing football, exercising etc.

  1. Despite all this, you have to take care of your nutrition and follow a proper balanced diet in order to regain the weight as the surgery may lead to loss of weight in your body. For the proper recovery, eating sufficiently is very essential to regain the power and energy like back before. Your diet must comprise of fruits such as apple and pomegranate, green vegetables, whole grain cereals and brown bread, skimmed milk and dairy products, and other milk products that are the rich source of protein such as eggs, meat, fish etc.
  2. One must make sure that sugar-containing food items such as sugary biscuits, and pastries etc. should not be consumed. Rather, you should take in fruits and vegetables that are comparatively low in calorie intake. You must increase the intake of water. You should consume at least 2 litres of water on a daily basis. It is very beneficial for your kidney and helps in the removal of waste substances from the body. Consumption of fruit juices, mineral water, pasteurised low-fat milk etc. proves to be helpful.
  3. One should take care that the fruits that are fresh and washed properly should only be taken. Vegetables like potatoes should be peeled and then cooked in hot boiling water. To keep the vitamins in the vegetables intact, you should cook vegetables in a pressure cooker. You should avoid eating raw vegetables.
  4. Only fresh dairy milk products should be consumed and avoid taking eating any dairy product made from unpasteurized milk. Also, one should limit the amount of salt intake, especially in the initial weeks after surgery as the medications may interfere with the salt consumption.
  5. After liver transplantation, exercising and to keep yourself engaged in some sort of physical activity is important as it aids in improving your physical as well as mental health of the body. You should consult a physiotherapist so that you can get help in avoiding complications related to physical exercises and assist in recovering fast. You should indulge in as much walking s you can. You can enjoy the activities such as bicycling, swimming etc. to carry out a healthy lifestyle after the surgical procedure.
  6. Driving, smoking and alcohol consumption is completely inhibited after liver transplantation surgery.

You can also continue your sexual activity as soon as you feel good. Mostly, men gain their potency after some time, but females take several months to get their menstrual cycle back to the normal.


Know How To Choose A Liver Donor For Liver Transplant!

Dr. Goutham Kumar 87% (10 ratings)
MBBS, MS - General Surgery, Fellowship - American Society of Transplant surgeons
General Surgeon, Bangalore
Know How To Choose A Liver Donor For Liver Transplant!

The liver can be transplanted either from the living-donor or from the deceased donor. Liver transplant surgery includes the transplantation of a part of the liver from the donor to the donee who has a damaged liver and does not function well. Living-donor liver transplant is more common especially among children as the number of liver donee are more than the available deceased donors of the liver.

Living liver donors are the alternative for the donee waiting for a liver transplant from a deceased person. The remaining liver of the living donor, after the transplant, regenerates itself and reoccurs to its usual capacity and volume within a few months post the surgery. The donated part of the liver to the donee also regenerates and restores to its normal functioning.

Most often, the living-donor of the liver is a close relative or friend. Everyone or anyone cannot donate a liver but only those can who have the matching liver depending on age, organ size, blood type, and other health and medical factors. Both the donor and the donee have to go through a thorough medical examination before the transplant to know the potential outcome and risk involved.

For the transplant, the donor is first operated and the required part of his/her liver is removed. The donee’s damaged liver part is then replaced by the healthy liver part of the donor. Both the donor’s and the donee’s operated liver is then attached with the bile duct and the blood vessels. Both the patients are kept under observation for some days for the medical team to know if they are having any health issue due to the transplant. The operated liver regenerates itself within certain months and starts functioning normally.

Precautions for the Donor-
Although the donor can go back to normal life routine a few months after the transplant there are a number of precautions that should be taken into account to avoid any health issue or liver damage.
● Avoid smoking.
● Avoid consumption of alcohol.
● Eat on time or do not starve or overeat.
● Avoid having heavy meals.
● Avoid heavy exercise or weight lifting or physical work.

Take Away-
Liver transplant is a surgery conducted to remove the damaged or injured liver of the patient with the healthy liver of the donor. The donor of the liver can either be deceased or living depending upon the availability of the donor and the severity of the donee.

Various lab tests and examinations are conducted on the donor and the donee to confirm their match and assess potential complications before the transplant. The donor is usually someone close to the patient or the donee whose liver has been matched depending upon various factors. As the liver regenerates within a few months, the donor can lead a normal life after the transplant.

1452 people found this helpful

Liver Disorder - How Can You Get It Fixed?

Dr. Sunil Kumar Dwivedi 87% (136 ratings)
BHMS, MD - Homeopathy
Homeopathy Doctor, Delhi
Liver Disorder - How Can You Get It Fixed?

Today, with rapid changes in our lifestyle choices, a number of diseases are on the rise. Fatty liver disease and liver cirrhosis are two such disorders. Some other diseases like jaundice and hepatitis can happen when the liver does not function the way it is supposed to. The liver is the body’s powerhouse and it produces fuel that keeps the other organs of the body functioning. It regulates the metabolism of carbohydrates, proteins, lipids and produces the bile that helps in digesting food. It also helps to maintain the glucose levels in our blood. That is why, when the liver is affected, it can lead to a number of ailments.

Some of the most common liver disorders are-

• Fatty liver disorder - When too much fat builds up around the liver, they make the tissues of the liver swell up and this can cause scarring of the liver tissues or liver fibrosis. Fatty liver disorder is the outcome of poor dietary choice, obesity or alcoholism. If you do not seek treatment for this disorder as soon as possible, your liver could be damaged permanently.

• Liver cirrhosis - When you consume alcohol in excess, the cells of the liver start to die and are replaced with scar tissues. These tissues do not allow blood to reach the liver and this leads to improper functioning of the organ. The damage is usually irreversible unless you start treatment in the early phases.

Homoeopathy for the treatment of liver disorders:

Homoeopathy is a holistic branch of medicines, which works on the principle of individualism.

• The symptoms of a disorder differ from person to person and the medicine that suits one may not suit others. Therefore, the doctor prescribes homoeopathy only after a detailed analysis of your condition and the symptoms. For example, medicines for fatty liver aim to cure this disease by curbing symptoms like abdominal pain, nausea, and fatigue. These medicines reduce the inflammation of the liver, ease nausea and vomiting, prevent bloating and help reduce weight.

• Since the damage caused to the liver cells is permanent, homoeopathy cannot reverse that. Therefore, the aim of homoeopathy is to prevent further deterioration of the cells, stop more complications from arising and to ensure that the liver can retain its basic functionality. Homoeopathic medicines do not allow water to accumulate, bring relief from pain, combat loss of appetite and energize the patient.

• Lastly, since the medicines are made of natural components, not only are they extremely effective, but they also do not cause any unpleasant disorders.

Liver disorders can ruin your life. However, if you take the right action at the right time and seek homoeopathic treatment you can go back to your normal lifestyle in no time.

4643 people found this helpful

10 Important Facts About Paediatric Liver Transplants!

Dr. Rajiv Lochan 85% (10 ratings)
MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
10 Important Facts About Paediatric Liver Transplants!

Being told that your child needs a liver transplant may be scary but the truth is that this surgery has a very high success rate. Most children who have had a liver transplant lead long, healthy lives. Here are 10 facts you should know about pediatric liver transplants.

Fact 1 - Liver transplant is usually the last resort.
Doctors advise a liver transplant only when medication and other types of therapies fail to provide desired results. Hence, do not ignore the doctor’s advice if they say the child needs a transplant.

Fact 2 - A liver biopsy may be needed before a liver transplant
Not every child is a viable candidate for a liver transplant. Hence, a biopsy is usually conducted to check the child’s candidacy for the transplant.

Fact 3 - Children are scored along the MELD and PELD system to determine the urgency of a transplant
This stands for the Model for Endstage Liver Disease (MELD) scoring system and Pediatric End-stage Liver Disease (PELD) scoring system. The higher the score, the more urgent the need for a transplant.

Facts 4 - It may take a while for a donor liver to become available
Most donor livers come from recently deceased persons. Depending on the urgency of the child’s condition, the child will be placed on the waiting list for a donor liver. This can take anywhere from a few days to a few months.

Fact 5 - The only part of a healthy liver is transplanted to the child.
In the case of children, only part of the liver is transplanted as their liver has not yet reached its full size. Often a healthy liver will be partially transplanted to a child and partially transplanted to an adult.

Fact 6 - The child’s family members can donate part of their liver for a child’s liver transplant.
Family members with the same blood type can donate part of their liver to the child.

Fact 7 - Liver transplant surgery is performed under general anaesthesia.
This surgery is performed while the child is under general anaesthesia and hence he or she will not feel anything during the procedure.

Fact 8 - Your child may have to be hospitalized for a few weeks post-surgery
Children are usually hospitalized for a few weeks after the surgery so that the doctor can keep an eye on how the body is reacting to the new organ.

Fact 9 - There is a chance your child’s body may reject the donor organ
In some cases, the child’s body identifies the transplanted organ as an antibody and rejects it. Medication can help reduce the risk of this happening.

Fact 10 - Regular check-ups are needed after a transplant
Check-ups are required to check for any complications that may arise post-surgery. Eventually, this is needed only once or twice in the year.

3668 people found this helpful

Liver Rejection - Know The Common Signs & Symptoms Of It!

Dr. Rajiv Lochan 85% (10 ratings)
MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
Liver Rejection - Know The Common Signs & Symptoms Of It!

A person with liver cancer or failed liver is required to undergo a liver transplantation, where the old liver will be replaced by a new liver. A liver transplant rejection, which is also called organ rejection, is faced by people who have recently undergone liver transplantation. One of the main reasons for this rejection is that the immune system of the body does not accept any foreign bodies. It will start attacking them as it treats them as a threat to the body.

Symptoms of liver rejection
Symptoms and signs of liver rejection vary from person to person. However, it is very important to understand these signs. Here is a small list of some common symptoms of liver rejection:

  • Severe pain in the area of transplant
  • High fever, usually above 100-degrees F
  • Severe itching
  • Dark urine
  • Swelling in the abdominal area
  • Headache
  • Fatigue
  • Jaundice
  • Nausea
  • Problem in breathing normally
  • Cough

Things you must remember 

  • If you see any of these signs or if you feel any kind of abnormality in your body after the liver transplantation, you must get in touch with your doctor immediately.
  • In most of the cases, the symptoms are visible, but in some rare cases, the symptoms will not be visible at all. In such cases, a liver biopsy is done on the patient who has undergone a liver transplant. In this biopsy, a small piece of the liver is taken out and sent for testing. This is one of the best ways to be sure if the newly placed organ is rejected by the body or not.

Acute and chronic organ rejection

  • Usually, within one year of your liver transplantation, you may experience the signs of rejection. This is called acute rejection. These rejections can result in chronic rejections. Chronic rejection is a condition where your organ will be attacked slowly and it gradually stops functioning normally.
  • As time passes post liver transplantation, the chances of getting rejected become lower. But that is never guaranteed by any doctor. Rejection can happen even after years of liver transplantation, and you may experience any of the above-listed signs and symptoms.
  • An early detection of the rejection symptoms will help in stopping the liver to fail completely. It Undergoing another liver transplantation will be quite difficult as it hard to find the right donor for your body. To avoid infections, the doctor should be able to detect the signs and prescribe the right medicine in the right dose after studying your medical history.
3452 people found this helpful

8 Reasons To Go For Liver Transplant!

Dr. Rajiv Lochan 85% (10 ratings)
MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
8 Reasons To Go For Liver Transplant!

Did you know that liver stands second among the most transplanted organs in the human body? Liver diseases are becoming more prevalent today. A liver transplant becomes necessary when a person’s liver is diseased or injured. Through surgical procedures, a part or the complete healthy liver is transplanted from the donor.

Here are some of the typical reasons for a liver transplant:

  1. Autoimmune HepatitisIn this kind of hepatitis, the body's immune system is not able to recognize its own liver tissue. It thus begins to injure the liver cells and that finally leads to scarring, liver cirrhosis, and end-stage liver disease. Unlike chronic viral hepatitis, this disease is not caused by a virus.
  2. Chronic viral hepatitis B, C, D:  Hepatitis is caused by the viral infection which results in swelling, inflammation, and cell damage. All these lead to liver destruction or scarring. The different types of hepatitis are A, B, C, D and E. Hepatitis B is the leading indicator of liver cancer worldwide.
  3. Non alcoholic fatty liver disease:  Fat accumulation in the liver cells causes this disease. It is said that excessive alcohol is the leading cause of a fatty liver. But this condition is also seen in patients with diabetes and obesity. This condition can cause liver cirrhosis.
  4. Primary sclerosing cholangitisIn this disease, the bile duct becomes progressively damaged by inflammation. This results in scarring that narrows the bile duct and causes obstruction to the flow of bile.
  5. Biliary cirrhosisSometimes there is a blockage in the bile duct. The liver creates bile which passes from the bile duct to the gallbladder. From here it is slowly released into the small intestine and helps in digesting fats. When the bile duct is blocked, all the bile that is produced accumulates in the liver and causes swelling and eventually loss of liver function.
  6. Active liver failure or toxic exposures: People suffering from acute liver failure caused by other reasons such as viral infection, fatty liver, etc. can undergo liver transplant surgery. Exposure to certain pesticides, herbicides, lead, asbestos and other hazardous pollutants can be the cause of a potentially life-threatening liver disease.
  7. Caroli's disease and choledochal cystThe bile ducts become dilated and result in the formation of cysts or sacks. This causes infection and obstruction of the bile ducts. Choledochal Cyst, On the other hand, is a congenital disorder. A choledochal cyst is formed due to a structurally flawed bile duct. In both these scenarios getting a transplant is mandatory.
  8. Hepatic tumorsTumors that spread either from other parts of the body or those that develop in the liver itself can cause severe damage to this organ.

It is best to consult an expert to know if a liver transplant is necessary for you. Hence, when you have problems related to liver seek medical advice without delay.

3259 people found this helpful

Liver Transplant - Understand The Procedure Involved!

M. Ch.(HPB Surgery & Liver Transplant), FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Mumbai
Liver Transplant - Understand The Procedure Involved!

If you are a patient suffering from any chronic liver disorder or disease which could not be treated with the help of medicines and other treatment options available in the medicinal branch, then liver transplantation is recommended.

So, if your medical providers have suggested you to undergo liver transplant surgery, then there is a set of procedure which you need to follow:

  1. First, you have to approach a transplant centre as per our convenience; you are free to select a centre which is nearby your residential area or where your preferred medical practitioners are working. You should keep in mind certain points while selecting a transplant centre such as the previous history of transplantation surgeries performed, survival rates of the concerned patients, costs involved, supplemented services offered by the centre including support groups, other arrangements etc.
  2. Next step is evaluating whether you are an eligible candidate for liver transplantation. Each transplantation centre has a different criterion of eligibility that you must fulfil in order to undergo the surgical procedure. The purpose of this evaluation is to make sure whether you are a healthy individual and have tolerance for the after medications.
  3. The specific tests and procedures may involve laboratory testing such as blood tests and urine tests for the assessments of the health of the liver, performing ultrasounds, assuring the health of the cardiovascular system, cancer screening tests, any psychological disorders etc. Once these steps are completed, the medical doctor's panel decides whether undergoing liver transplantation is a better option for you or not.
  4. Once the doctors decide, then they put you on the waiting list and your score depends upon the prognosis, higher the score, more critical the situation is. After that, a doner is look forward to. Some people may find their donors within few days and it can even stretch up to months. Some surgeries are performed by transplanting a portion of liver obtained from a living donor. Usually, the living donor is a close acquaintance of the patient.
  5. During the procedure, there can be two types: in the case where there is an availability of deceased donor, the doctor may call you immediately and further testing is done if you are a healthy candidate for the procedure. Then the surgery is performed by providing local anaesthesia. The cut is made across your abdomen to make your liver accessible for the surgery. The cuts can vary in size and location as per the approach used by the surgeon and the anatomical structure of the patient. The unhealthy liver is removed after disconnecting the blood supply and bile ducts that go through the liver and donor’s liver is replaced in your body. Once this is done, the blood vessels and bile ducts are reconnected and the surgery may require up to 12 hours and can extend for more duration. The incisions or the cuts are then stitched.
  6. When the liver donor is a living candidate, then the liver is removed from the patient’s body and donated liver is put at the place. The liver of the donor regenerates in a short duration of time, in around several months.
2002 people found this helpful

How To Evaluate If Liver Transplant Is Required By A Patient?

M. Ch.(HPB Surgery & Liver Transplant), FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Mumbai
How To Evaluate If Liver Transplant Is Required By A Patient?

Liver is one of the most important organs of the living beings, which performs various functions to keep the body healthy and fit. In some people, the liver will be malfunctioning due to several reasons. So, in these technology days, it is possible for the transplanting it from a healthy person to the patient. Though it is possible but, this transplantation will not be successful for all which can be due to individual health conditions and the stage of liver failure. In order to determine whether a patient can go for the liver transplant or not there are several tests to consider.

Steps to undergo liver transplantation
Liver transplantation is not as simple as it is said, but there are several steps to consider before one thinks of this surgery. Some of the primary steps involved in the process of liver transplantation are:

  1. The first step is to visit the doctor and discuss about liver transplantation.
  2. Then as per the suggestion of the doctor visit the referred liver transplant centre.
  3. The patient is provided with the required information regarding liver transplant.
  4. In this course of time patient will meet several members of the transplant team.
  5. Next medical history of the patient is viewed and recommends some tests to determine the requirement of transplantation.
  6. Then the results of the tests say about the patient condition.
  7. After that, a donor is found out who can be either a living donor or deceased one.
  8. Once the donor is found, transplant centre asks the patient to be prepared for the transplantation.

Process of determining liver transplantation
Determining the requirement of liver transplantation is the most important step which is evaluated by the specialists only. These specialists will be from various fields to know whether it is highly essential or not. This evaluation will be based upon the medical history of the patient, in some of the cases interviewing or discussions with the patient and huge number of tests. All these will be conducted by a professional liver transplant team at the liver transplantation centre only. This team includes:

  1. Liver specialists are also known as Heptalogist
  2. Transplant coordinator
  3. Transplant surgeons
  4. Psychiatrist
  5. Financial coordinator
  6. Social worker
  7. Insurance manager
  8. Anesthesiologist
  9. Dietitian
  10. Chemical dependency specialist

Tests to evaluate the need of Liver Transplantation
Patients are required to present all their previous health records which include X-rays, liver biopsy slides along with the medications during the pre-evaluation of liver transplantation. The common tests that are performed to evaluate the necessity of liver transplantation include following:

  1. Computed tomography for generation of liver pictures
  2. Doppler ultrasound for checking blood vessels from and to the liver is in open condition.
  3. Echocardiogram for the evaluation of heart condition.
  4. Pulmonary function to determine the condition of lungs in respiration process.
  5. Blood test to check the type of blood, clotting ability along with the biochemical status of the blood.
  6. In some patients, AIDS along with Hepatitis are also included.

All the above tests along with the exams help in diagnosing if a patient needs liver transplantation depending upon the condition.

1968 people found this helpful

Liver Transplant By A Living Donor - Understanding It In Detail!

M. Ch.(HPB Surgery & Liver Transplant), FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Mumbai
Liver Transplant By A Living Donor - Understanding It In Detail!

Living donor liver transplant is the procedure where a portion of the liver of a living donor is transplanted to one whose liver is damaged and beyond recovery. The source of graft liver can be from two sources namely from a deceased brain-dead donor or a Living-related donor and termed respectively as DDLT ( Deceased donor liver transplant) and LDLT ( Living Donor Liver Transplant) . 

In case of DDLT , the recipient name is registered in the NOTTO list , and whenever a suitable brain-dead donor is available the recipients are transplanted according to their position on NOTTO list. DDLT involves a longer waiting time before a deceased donor may become available which can be anywhere between a month to years . The recipient runs a risk of developing a fatal complications during the waiting period. In LDLT ( Living donor liver transplant) the graft liver is procured from a living donor who is related to recipient and agrees to donate a portion of his liver. After careful pre-operative evaluation of prospective donor nearly 60-70% of liver of donor is removed and transplanted into the recipient.

Due to the unique ability of human liver to regrow, within 6-12 weeks nearly 100% of previous liver volume is achieved. LDLT enjoys the benefits of a elective surgery done without any waiting time and delay. However both DDLT and LDLT have nearly 90% success rate and both the procedures have their own benefits and lacunaes. Also the decision to go for DDLT and LDLT may vary for any particular patient. 

Factor that makes living donors potent enough to donate part of their liver: 

  1. As the liver is composed of two lobes , right and left lobe. Also the liver has an unique ability to regenerate. 
  2. The donor’s right lobe preferably transplanted in and adult recipient and left lobe is transplanted in pediatric age group .. When the portion of the liver is in place in the recipient’s abdominal cavity, the transplanted liver generates supplementary liver tissue adequate for decent functioning. 
  3. The donor liver regrows to nearly 90% of its original volume in 6 weeks and nearly 100 % in three months. Morever liver functions tests revert to completely normal even before complete regeneration happens. 

The knowledge, essential for the living liver donors: 

  1. The living donor transplant method is a lifesaver, but there are some concerns. The donor should have an excellent health record and should be free from cancer, pulmonary hypertension, congestive heart failure, or any other chronic diseases. 
  2. The donor’s liver must be healthy and large enough so that it works correctly after the right lobe is removed. The operation may take many hours, and both the recipient and the donor must rest in the ICU overnight. 
  3. The donor can be discharged by the end of one week and can resume normal household and office work by end of second week.

Patient is advised to avoid abdominal straining for three months but after that he or she can resume absolutely normal life style. Living donor liver transplants have an advantage that they can be performed in elective setting when the patient and donor are well-optimized, eliminates the waiting time, donor liver has been well evaluated and can be performed quickly in advanced or decompensated patients. In case you have a concern or query you can always consult an expert & get answers to your questions!

2143 people found this helpful

Liver Transplant Surgery - Everything You Need To Know About It!

Dr. Manoj Gupta 90% (160 ratings)
MS - General Surgery, DNB - Surgical Gastroenterology, MBBS
Surgical Gastroenterologist, Ghaziabad
Liver Transplant Surgery - Everything You Need To Know About It!

As you might already know, the liver performs some important functions for the body such as removing toxins from the blood stream, regulating the immune response, processing hormones, nutrients, and medications, production of bile, production of protein, etc. That’s why the liver is considered to be the most important organ of the human body, and it’s vital to have a healthy, functioning liver. However, in some cases, a person needs a liver transplant. This is a complex surgical procedure that aims at replacing a non-functioning liver with a healthy liver from a donor.

Why is liver transplant done?
Liver transplant is mostly done in cases where the conditions cannot be controlled with conventional treatment or people suffering from cancer. A liver failure generally happens over a period. But, there are cases where the liver might fail in a matter of days. This condition is termed as an acute liver failure.

Chronic liver failure, on the other hand, happens gradually and can be a result of a lot of factors; the most common being liver cirrhosis. The latter can befall due to reasons such as hepatitis C and B, liver fat, Wilson’s disease, alcohol abuse, etc.

When do you need a liver transplantation?
The liver carries various functions important function in the body. Any disease or damage to it can affect the functioning of many other organs and total body functioning. However, the good thing is that liver can regenerate itself and only when it is damaged to an extent that affects this regeneration process; that one needs to look at the various treatment options. Liver transplant is recommended as the last resort in case of serious life threatening liver diseases like the following-

  1. Chronic liver failure
  2. Liver cirrhosis
  3. Acute hepatic necrosis
  4. Auto immune hepatitis
  5. Viral hepatitis
  6. Cancerous tumors in the liver
  7. Other metabolic disorders caused by the liver

For you to be eligible for a liver transplantation it is a must to remain sober for at least 6 months before the procedure happens.

Who can donate healthy liver for transplantation?
Ideally, a healthy liver is available for transplantation once the organ donor has died. However, due to the shortage of cadaver livers, transplantation of a portion of a healthy liver from a living donor was first attempted in the late 1980s. Today living donor liver transplantation (LDLT) is a common practice in quite a few medical institutes where up to 70% of the right side of the healthy liver is taken from the donor. 

Apart from the liver portion, a small part of a blood vessel in the leg is also removed from the donor’s body to connect the donated liver portion to the recipient. Due to this complex process, the donor may need a hospital stay for a week or longer. During this time the donor’s liver begins to heal and regenerate itself. Full regeneration generally takes six to eight weeks. In case of the recipient, it takes a bit longer for the transplanted portion to reach full function and the appropriate size. Thus the ability of the liver to regenerate helps both the donor and recipient to have a normal functioning liver in some time.

Risks and Benefits of Liver Transplantations
A good transplant centre ensures that all the safety measures are followed during the liver transplantation by the transplant surgeon and there is no risk of complications like bleeding, infection, blocked blood vessels bile ducts in the liver. A successful liver transplant increases the life span of the donor by a few years. However, the new liver can also get infected with hepatitis if it is not treated alongside. Also, relapse to alcohol use after transplant causes damage to the new liver, so stay sober and stay healthy.

What are different phases involved in the process?

  1. The first part of the process involves identifying a transplant centre that is reliable, trustworthy and performs enough transplants in a year. It is important to figure out the survival rate, factor in the cost, access the additional support that the centre can extend, etc.
  2. The next part is the evaluation. Any hospital evaluates a person with three things: A. whether the body is healthy enough to support medications for the rest of the life. B. Whether there exists any pre-medical condition that can jeopardize the procedure. C. If the patient is willing to follow the treatment plan for the rest of the life.
  3. Another phase that enters here is the testing phase. Some of the typical tests that are conducted include imaging test of the liver, basic laboratory tests, nutritional counselling, heart tests, routine health exam, financial counselling, etc. Once these procedures are over and done with, the selection panel of the centre meets to discuss the case and put the patient on the waiting list.

Is there a post-surgery procedure?

Once the patient is matched and the surgery takes place, a patient is likely to be in the intensive care unit for a few days followed by frequent check-ups for the first few months and the medicine continues for the rest of the life. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3869 people found this helpful

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