Liver Transplant

Liver Transplant

A liver transplant is the surgical substitution of the failed liver in a person with a portion or complete liver of another living or deceased.

Procedure and liver cancer treatments in India depend on the level of cancer and the condition. The Top liver transplant hospitals in India follow multi-disciplinary teams (MDTs) that remove the part not functioning duly liver transplants is advisable if the infection is present in the complete liver. Usually, liver cancer treatments happen in people with a family history of liver cancer, chronic intake of alcohol and smokers, liver diseases, and other reasons.

Liver Transplant - Overview

Liver Transplant

The process in which a non-functioning liver surgically gets eliminated to replace it with a healthy liver of a dead donor or section of a healthy liver from a matching donor is called liver transplant.

The liver is the largest in comparison to other organs and also regulates many vital functions such as:

  • To process the intake such as nutrition, medicine, and regulate hormones.
  • To produce bile pigments to help absorb body fats, fat-soluble vitamins, and cholesterols.
  • To help remove toxicity and bacteria from the blood.
  • To help in the prevention of Infections and regulate immunity.
  • To build proteins helpful in the blood clotting process.

Usually, liver transplants are carried out only in patients with the last stage of liver failure or incurable liver disease. In scarce cases wherein a sudden liver failure occurs in a previously healthy person, the doctor advises a liver transplant as the treatment.

The waiting patients for the deceased donor livers outnumber than availability. In such cases, a living donor transplant liver can work as a substitute for the inline patient. Liver transplants from living donors are attainable as the liver has a regenerative property that helps itself regain its original size in a short period of surgical extraction of a section from it. In 2021, approximately 9,236 liver transplants underwent in the US in children and adults, and a substantial increase in deceased donor liver transplants. With appropriately 2566 adults as living donor liver transplants. As per research, roughly 1700 people expire due to a shortage of liver transplants. And a total of 17500 people in the US are waiting for a deceased donor liver.

Liver Transplant - Symptoms

Liver Transplant

Cancer in the liver does not detect indications and symptoms in the early stage cancer and is tough to treat initially. The people with such cases are more prone to death without a transplant. The best liver transplant doctors in India suggest liver transplants only in the last cancer stage. In a few cases, doctors recommend a liver transplant if there is no possible treatment to cure the disease and preserve the life. Moreover, it can also help treat some specific cancers beginning in the liver.

A liver transplant is for people who experience sudden liver failure or dire disease in the liver. A liver can fail suddenly or over a long stretch time. The immediate failure of the liver in just a week is an acute liver failure and a comparatively rare situation commonly a critical effect caused by certain medicines. A liver transplant can be a treatment for acute failure but usually a treatment for chronic failure in the liver. Chronic Failure -The outcome of various conditions the patient has been through at a slow pace taking months or even many years.

Commonly adults receive liver transplants due to cirrhosis which is persistent damage to the liver. The scarred tissues continue replacements with healthy tissues creating problems in the functioning of the liver and scarring of the liver failing. The scarred tissues supplant healthy tissues making them untreatable but can be within limits.

The frequent factors which lead to cirrhosis involve the following:

  • Immunological hepatitis
  • Severe hepatitis B and C
  • Non-alcoholic fatty liver
  • Alcoholism
  • Metabolic Syndrome
  • Influence of genetic disease on liver
  • primary biliary cirrhosis
  • primary sclerosis cholangitis
  •  Extrahepatic ductopenia or Biliary atresia in infants

Liver Transplant - Pre-Procedure

Liver Transplant

Maintaining health: Maintaining health is very important before liver transplant surgery. If the transplant is already on the schedule list or if the patient is still on the waiting list for the donor, the person should take care of their health thoroughly. The person should strive to be active and healthy at the best as it may help prepare them for the transplant. It will also be helpful in speedy recovery post-surgery.

 Things to maintain:

  • Taking medicines as per prescription and on time.
  • To have a proper diet and exercise routine.
  • Do not miss appointments with the healthcare management team.
  • It is a must for the person to keep themselves engaged in activities like quality time with family and friends and relaxation.

It is necessary to keep in touch with the transplant team and make sure they are aware of any particular change in health. If the patient is on the waiting list for the liver donation, it is a must to ensure that the transplant team can acquaint with them anytime. It can be helpful if the patient is ready with their necessities like bags and transport in advance to rush in immediately.

In the best hospitals for liver cancer treatments in India, the doctor considers several aspects of the patient before deciding on the need for a liver transplant. Some of them are as follows:

  • The psychological state of the patient
  • The complete physical state of the patient
  • The solemnity of the patient
  • Any medical conditions of the patient
  • A previous record of tuberculosis or deadly infection such as HIV.
  • The care, support, and encouragement a patient receives from their family and friends.

Transplant center

When the best liver transplant doctors in India suggest a liver transplant, the team will recommend a transplant centre. The patient can decide on the transplant centre according to the insurance company and other priorities.

Guidelines for picking a transplant centre

  • The total and types of transplants from the centre annually.
  • survival rate of liver transplant at the centre
  • Comparison of statistical data from the centre and Scientific Registry of Transplant Recipients
  • All costs including Pre, During, and Post-transplant until the frequent doctor examinations.
  • Add on services like assisting in travelling requirements, local recuperating areas, and other helpful resources.
  • To know if the centre is technology efficient and updates regularly.

Arrange the list of the best centres according to the selection criteria once the enquiry concludes. The patient will have to take an evaluation test in the chosen centre to ensure eligibility according to the centre. Every centre has specific criteria for eligibility that a patient should meet before beginning the treatment procedure. If a patient is a spurn at one centre, they should take an evaluation test in others.

The aim is to evaluate the patient to assure that the patient is :

  1. In good health shape to bear the transplant and medicines lifelong.
  2. Doesn’t have previous medical records capable of creating complications in a successful transplant
  3. Willingness to follow all the instructions and undergo tests, procedures, and appointments like
  • blood and urine tests to check the health of all organs.
  • test determining the health of the heart.
  • Ultrasound of liver.
  • Screening cancer to determine a complete health check of an individual to ensure a successful transplant.
  • A complete counselling of proper diet pre and post-transplant.
  • Psychologically preparing for the transplant by explaining the risks involved.
  • Finance counselling to help the person determine every pre and post-transplant cost and their coverage through insurance. To collect appropriate information, please consult with the team on liver transplant treatment costs in India.
  • Helping patients forgo addiction- cigars, alcohol, drugs and tobacco.

After evaluation, the committee decides if a transplant is the best option and if the person is healthy to undergo a liver transplant. If the response is positive, the person is on the waitlist. The LFT test help doctors ascertain the urgency of transplant again estimated by the score MELD and PELD. For adults, Model of End-Stage Liver Disease (MELD) and children (PELD) Pediatric End-Stage Liver Disease. A definite formula helps achieve a MELD score varying from 6 to 40. A higher score determines urgency in transplant and is among the first preference on the waiting list based on blood type.

Waiting for a liver donor

It may vary from person to person. While some may have to wait for days, some for months and a few may not be able to receive a liver. Meanwhile, the best liver transplant doctors in India continue treatment for failed liver and its complications to help the patient live comfortably with high possibility. The patient is under observation, and if the liver worsens MELD score is increased determining early transplant.

Usually, for pre-evaluation of a liver transplant in India, the doctor asks the patient to submit all the prior records by the doctor like biopsy slides of the liver, X-rays and all medicinal prescriptions if the doctor prescribes a liver transplant in India. The doctor checks all the tests and medical records before performing a surgery. If the doctor suggests a liver transplant for a person, they have to wait for the availability of a donor. Upon confirmation, the patient stands on the waiting list for the donor. After that, the patient has to wait for a matching donor liver, and once they tie transplant will begin. There is a set waiting period for different age groups: an adult has an average of 145 days, and children have 72 days as waiting days. It highly depends on the priority of the waiting list or a critical patient. Before beginning the transplant process, the in-charge doctor or surgeon prepares the family by talking with them. Explain the transplant procedure thoroughly with the side effects and risks it involves. The doctor asks the family or guardian to sign the agreement and complete the other protocols to start the liver transplant process. Then the patient is put on a “Nil by Mouth” diet in which the person is on fluid intake as in IV drips.

Liver Transplant - During Procedure

Liver Transplant

For a liver transplant in India, the best hospital has a substantial healthcare team. That includes a transplant surgeon, a transplant physician, an anesthesiologist, a haematologist, and a paramedic. Usually, the transplant may last for 06 to 12 hours to complete the process. The monitoring devices are on function, and the patient receives anaesthesia, then the tube connecting the ventilator is drawn into the lungs. The new donor liver takes the place of the original but non-functional liver, completing the transplant surgery.

Types of donors for liver transplant and procedure involved:

  1. Deceased donor liver transplant (DDLT)

If a patient is about to receive a deceased donor liver, the hospital informs the patient of availability they have to reach the hospital instantly. The appointment health care team at the hospital will admit the patient and run some tests on the person to enquire whether the health condition can manage the treatment.

In surgery for a liver transplant, the patient is prompt for sedation by giving general anaesthesia. The surgeon in charge of the transplant creates a slit over the abdomen area to make a way out for the unfunctional liver. The portion and proportion of the slit depend on the treatment of the doctor and the patient physique. The surgeon in charge disconnects the arteries, veins and bile duct from the failed liver and replaces the donor liver in its place. Further, the doctor carefully attaches the veins, arteries and bile duct to the functional liver. After placing the new liver, the doctor closes the surgery slit. The patient will stay in the intensive care unit to closely monitor the development, prevention of infections and recovery process.

  1. Living donor liver transplant (LDLT)

In case a patient is going to receive a living donor liver, the date of the liver transplant is already on the schedule. And the patient does not need to rush to the hospital instantly. As per the instructions of the surgeon in charge, the patient arrives at the hospital to admit themself. Thereby undergo the process of liver transplant in India. In this treatment, the surgeon extracts a section from the donor organ before operating on the patient. Secondly, the surgeon replaces the failed liver with the piece of the liver in its place and links the arteries, veins and bile duct to the functional liver. The patient and donor have to stay in the intensive care unit post-surgery to monitor the changes, prevention of infections and recovery process.

The piece of the liver in the patient and the section empty in the living donor will soon develop as the liver has a regenerative property that helps it reach the actual size and density in just three months.

  1. Domino liver transplant

Domino liver transplant is another uncommon liver transplant from a living donor. This particular liver transplant is from a donor having familial amyloidosis disease. It is a rare disease wherein a defective protein is accumulated and damages the internal organs. In this transplant, the amyloidosis donor is looked upon by a liver transplant person who can then donate the liver for transplant as the liver is fully functional. There is a high possibility of the patient growing symptoms of familial amyloidosis. It may take more than twenty years to form the disease. The doctor selects recipients in domino liver by age and the best treatment for the patient. Generally person 55 or above is a recipient, and they may not develop amyloidosis symptoms early to their natural end-of-life expectancy. Doctors tend to examine the recipient, carefully understanding the best treatment. And evaluating if they can undergo a domino liver transplant or if other options could work better in that situation.

Liver Transplant - Post-Procedure

Liver Transplant

Intensive Care Unit

The patient requires to stay in the ICU for some period. The medical team in charge will monitor all the changes and look for indications of complicacy. In addition, the doctor regularly tests the liver functions to observe the mechanism of the liver.

Hospital stay

After ICU, the patient rests in the hospital for a few days depending on the condition. Since the patient will be prone to infections, further recovery stays in a specific transplant area to get back to normalcy.

At Home Recovery and frequent checks

The patient returns home but has to undergo regular checkups according to the plan by the doctor while recovering. There are some blood tests initially a few times every week later, decreasing the count.

Medications

The patient will have to take certain medicines a few post-transplant and others throughout their lives. The doctor will prescribe immunosuppressants to circumvent the immune system inside from attacking the liver after the transplant. The other medicines shorten the risks and some complexity after liver transplant.

Recovery

A patient may take above 06 months to recuperate and to feel complete recovery after the liver transplant procedure. It highly depends on the condition the patient was in before the transplant. After a few months of transplant, a person can remit to the daily routine and office work.

Endurance and Comfort

Coping during this period can be easier with support from encouraging family and friends. The patient may have feelings like anxiety and massacre that are normal pre-transplant and fear of rejection post-transplant.

The transplant team helps the patients in recovering from this phase by planning proper activities and helpful ways to cope and keep themselves in good spirits.

  • Being in a group of transplant recipients will help in sharing experiences of similar cases and eliminate the anxiety and panic in the situation.
  • Social media can be helpful if one spreads their experiences to connect with people with the same effects may help in adjusting to the situation.
  • It will be better for an individual to understand the health state and know that life after a liver transplant can differ from life pre-transplant.
  • It is a must to have thorough knowledge about the treatments while enquiring about the unknown.

Dietary requirements and nutritious facts

For the safety of the new liver healthy and quick recovery period maintaining a proper diet is significant. The best doctors plan a complete diet chart and appoint a dietician to ensure the same.

Generally, low fat, sugar, salt, and cholesterol are vigilant, and alcohol is strictly prohibited.

Physical activities and exercises are a must to maintain health. Even after the transplant, the patient should be encouraged to walk and continue the activities in daily life.

Liver Transplant - Risk & Complications

Liver Transplant

Liver transplant in India is at an effective rate in the best liver hospitals in India. As can be known, some certain risks and difficulties in performing liver transplants involve the immune system that can attack the liver and reject the transplant. Blocking or leakage in any bile duct or shrinking, a lot of bleeding, clots formation in blood, non-functioning of the donor liver, infections, and psychological effects like seizures are the other risks.

The complications of liver transplants may include an outbreak of the liver disease in the new transplant liver. To avoid such complications and to prevent rejections, the doctor prescribes additional medicines

These medications again have their side effects like :

  • Thinning of bones
  • Diabetes mellitus
  • upset stomach
  • Headache
  • High Blood pressure and cholesterols

As the drugs suppress the immune system, a person will be more prone to infections, and the doctor will prescribe medicines for fighting the infections.

Surgeries involving liver transplants in India are not simple but are highly successful. Whatever the situation, the patient and family should be alert to both conditions.

Top Liver Transplant - Doctors in India

Liver Transplant

Finding Liver Transplant specialist doctor in India for foreign patients even for an Indian person is not easy work. If you are searching for the best Liver Transplant doctor in India for the treatment then our healthcare consultants are ready for helping you. They provide you with the complete details about the specialist doctors. A list of top Liver Transplant doctors in India with complete details such as experience, fees, contact number, hospital, etc. in Delhi, Gurgaon, Faridabad, Noida, Chennai, Mumbai etc. are given below and you can book an appointmentonline.

  • Dr. Subhash Gupta

    Dr. Subhash Gupta

    Chairman , Fellowship, MS, MBBS

    Surgical Gastroenterologist

    37 years of experience

  • Dr. Abhideep Chaudhary

    Dr. Abhideep Chaudhary

    Consultant , MBBS, MS, Fellowship

    Surgical Gastroenterologist

    10 years of experience

  • Dr. Vivek Vij

    Dr. Vivek Vij

    MBBS, MS, DNB

    Hepatologist

    17 years of experience

  • Dr. A. S. Soin

    Dr. A. S. Soin

    Chairman , MBBS, MS, FRCS, FRCS

    Liver Transplant Surgeon

    30 years of experience

  • Dr. Giriraj Bora

    Dr. Giriraj Bora

    Additional Director , MCh, MS, MBBS

    Surgical Gastroenterologist

    16 years of experience

Best Liver Transplant - Hospitals in India

Liver Transplant

If you are planning for Liver Transplant in India and searching for the best Liver Transplant hospital in India then no worries. Al Alfiya Medi Tour is ready for helping you. We have a team of experienced healthcare consultants. They will help you in finding the best hospital for Liver Transplant in India. You can choose any top Liver Transplant hospital in Delhi, Gurgaon, Faridabad, Noida, Chennai, Mumbai, etc. The list of Liver Transplant hospitals in the main cities- Delhi, Mumbai, Gurgaon, Noida, Faridabad, etc. in India with complete details such as hospital address, phone number, city, and best doctors list, etc. is given below. You can book an online appointment with any hospital now.

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Liver Transplant

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    More Info About Liver Transplant

    Liver Transplant
    Procedure Cost in USD Stay in Hospital Stay in India Total Days
    Liver Transplant 32000- 38000 20 days 40 days 60

    Liver Transplant Treatment Cost in India

    Liver Transplant

    Liver transplants are tactful surgeries but get adequate care and concern from the best hospitals. The approximate cost for a liver transplant in India is 20-30 lakhs depending on the treatment suitable for the patient.

    Liver Transplant Success Rate in India

    Liver Transplant

    Liver Transplant success rate in India is very excellent. Although success rate depends on various factors such as hospital, doctor, patient, and many more. You can consult online with our healthcare professionals to know the success rate of Liver Transplant in India.

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