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About Liver Transplant
Liver Transplant Surgery Clip
What is organ transplant?
Organ transplant means removing a part or whole of the organ from one deceased or live person and replacing damaged organ in other person.
Which organs can be transplanted?
Kidneys and corneas (eye) are transplanted regularly at many places in India. Similarly liver, heart, lung, pancreas, intestines are being transplanted worldwide and even in India though infrequently. Recently even face transplantation has been attempted.
What is liver transplant?
Liver transplant means removing a whole or part of liver from a deceased or living person, placing and attaching in a patient of end stage liver disease, after removing whole liver.
What are types of liver transplant?
Liver Transplantation is of two types –
(1) Living Donor Liver Transplantation (LDLT) – where a part of liver is removed from a live person and transplanted to a patient.
Whole or part of liver is removed immediately from the patients who are brain dead but have functioning organs and transplanted to a patient of chronic liver disease.
History of liver transplantation
Initial attempt to transplant liver were carried out in animals like dogs and cats. First human liver transplant was carried out in 1963; patient lived for few days and succumbed to death. Discovery of better immunosuppressant drugs and understanding of pathophysiology lead to improved survival gradually. Dr. Thomas Starzl performed the first successful liver transplant in 1967 in America. There have been many advances since then and by the early 1980’s liver transplantation was widely accepted as a treatment of choice for many patients with advanced liver disease or unbearable symptoms of their liver disease. Techniques and technology have been advancing and a lot of research is going on in basic sciences like immunology and cell biology for further improvement. Transplantation of organ spells out the success story of medical science of twentieth century.
Who are the members of transplant team?
Transplant surgery involves inter-disciplinary approach, with success of organ transplant depending on team work of several specialist doctors and hospital staff. Transplant team consists of following members.
The Patient and Family
Liver / Kidney transplant surgeons
Hepatologist (liver specialist)
Blood bank personnel
ICU staff and nurses
Critical care specialist
Psychiatrist and psychologist
OT staff and nurses
How does it work ?
Once patient is referred for transplant, indication for transplant is established, contraindication is ruled out and both the patient and donor are evaluated. Transplant team organizes a meeting, patient’s and donor’s evaluation is confirmed, problems are rectified and planning of transplant is charted out.
Dual Lobe Liver Transplant(two liver transplants in one man ):
A right lobe and a left lobe from two different donors were used for transplantation in a large patient for whom either lobe by itself would have been too small.
Simultaneous Liver and Kidney Transplantation from Two Donors:
When the patient has both liver and kidney disease or when the patient is suffering from the disease Oxalosis.
Swap Living Donor Liver Transplantation:
When there are two patients with donors but respective donors and recipients mismatch by blood group or size, each donor can donate to the other patient. In this case both the liver transplants are done simultaneously.
Domino Liver Transplant:
In some metabolic diseases, replacing the otherwise normal liver can cure the disease and the liver thus removed can be transplanted into someone who does not have the metabolic disease. For example the domino donor suffers from Maple Syrup Urine Disease (a genetic defect of amino acid metabolism).
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Consult regarding all your problems related Liver Disease, Liver Transplant, Living Donor, Cadaveric Donor, Pre-Transplant Preparation, Peri or Post Transplant Care, Organ Transplant Act in India and abroad, Liver Transplant in India, China, Singapore etc.or any queries related to this field.
India Liver Transplant provides information on liver transplant in India and abroad, cost of liver transplant, success rate of liver transplant, liver transplant in China, liver transplant in Delhi, about pros and cons of liver surgery, treatment for common liver diseases, cirrhosis, jaundice, hepatitis, liver donor, risks to liver donor's life, cadaveric liver transplant, liver cancer treatment, liver transplant medicines, post liver transplant life, care, precautions and sucess rate, acute liver failure by India's most experienced liver transplant coordinator Jyotsna Verma who worked with pioneers of Liver transplant surgery in India, Dr. A. S. Soin, Dr. Samiran Nundy, Dr. Subash Gupta, Dr. Vivek Vij, Dr. Rahul Kakodkar, Dr. Vinay Kumaran, Dr. Mohammed Rela, Dr. Anand Ramamurthy, and worked with best liver transplant team at Liver Transplant Unit Sir Ganga Ram Hospital(SGRH), Institute of Liver Transplantation and Regenerative Medicines, Medanta - The Medicity, Gurgaon and Fortis Hospitals, NOIDA and has been to ILBS (Institute of Liver and Biliary Sciences).
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