It is also known as hepatic transplantation.

It is
the procedure to substitute damaged liver with
a healthy liver of the allograft. For end-stage
liver disease and acute liver failure, the
procedure of liver transplantation is
undertaken.
Liver Transplantation can be done either from
the live donor or from new cadavers. In
cadavers, donor undergoes surgery to get his
or her part of liver removed to be transplanted
into the recipient.
Patients that require liver
transplantation or the patients
that will die without liver
transplantation are the
candidates for liver
transplantation.
1. AIDS (acquired immunodeficiency disease)
2. Cancer presently existing in an organ other than the liver
3. Metastatic cancer of the liver (advanced liver cancer that
has spread to another organ)
4. Alcoholic liver disease coupled with failure to abstain from
alcohol for the last six months
5. Severe active infection
6. Active substance abuse (for example, alcohol or heroin)
7. Irreversible brain dysfunction
8. Advanced heart or lung disease
1. Deceased Donor
2. Living Donor
The first step is the preliminary evaluation that
helps patient and evaluation team to determine
whether transplantation is an appropriate option
for treatment.
Hepatologist, a liver specialist, evaluates
patient's condition. A few tips that can be taken
into consideration:
Accompany yourself with a family member or
support of medical tourism platform like
MedMonks to help understand the significant
amount of information you will receive about the
transplant process.
▪ Computed tomography- That uses X-rays and a
computer to generate pictures of the liver, showing its
size and shape
▪ Doppler ultrasound- To determine if the blood vessels
to and from your liver are open
▪ Echocardiogram and stress testing- To help evaluate
your heart
▪ Pulmonary function- It studies to determine your lungs'
ability to exchange oxygen and carbon dioxide
▪ Blood tests- To determine blood type, clotting ability,
and biochemical status of blood, and to gauge liver
function. Serology screening is also included.
▪ The time duration of surgery is up to 12 hours. That is the
approximate time mentioned as it may take longer or shorter
due to the level of complication in the procedure or the
experience of the surgeon.
▪ The procedure of Liver Transplantation is undertaken under
the general anesthesia.
▪ Before the surgery, a tube is placed through the mouth of the
patient into wind pipe to help patient breathe during the
operation.
▪ To remove the diseased liver Y-shaped incision in the
abdomen is done. Donated liver is then inserted and attached
to the major blood vessels and to the bile ducts. The incision is
closed at the end of surgery.
1. Orthotropic Transplantation- The procedure of Orthotropic
Surgery involves replacement of diseased liver with the healthy liver
(donor's liver). Donor's liver must be transplanted into receiver's within
12 to 18 hours. In the procedure, the diseased liver is removed from the
four main blood vessels and other structures that hold that liver in the
abdomen. The final connection is made in the duct that carries bile
produced in the liver to the intestines called bile duct.

2. Heterotopic Transplantation- Surgery involves adding the healthy

donor liver at another site and diseased liver is intact. The healthy liver
is attached very close to the original liver When the diseased liver high
possibility to recover only then Heterotopic Surgery is performed. If
liver starts to get recover then the other organ shrinks away. If not, then
the "original liver" shrinks away, and donor's liver performs natural
bodily functions.
3. Reduced-size Liver Transplantation- This procedure is mostly
performed on children and involves transplanting a portion of healthy
liver into a patient. 15 to 20 % of the original liver is intacted. That way,
one donor liver can be used for two successful implants.
▪ Regular visits (1-2 times) a week over about 3 months to
transplant surgeon is essential.
▪ After a year a liver transplantation procedure, the follow-up
care becomes individualized.
▪ Immunosuppression medications are essential as they keep
the body from fighting off the new organ. Other medications
might also be involved to control blood pressure etc.
▪ Mostly the patients are seen week in the initial months of post
transplantation. In later stages the frequency is reduced over
time.
▪ Other tests like abdominal scans, ultrasounds, and liver
biopsies are performed in some patients to monitor health and
liver functions.
▪ There are few dietary restrictions too that are supposed to be
taken into consideration.
There exists a possibility that
immune system rejects a newly
transplanted organ considering
that as a foreign object. The
immune system attempts to get it
rid of patient’s body. That is
known as rejection. To prevent
rejection anti-rejection drug is
given to the patient.
▪ Liver Transplantation provide patient with a chance to
liver longer and active in life in the final stages of liver
disease.
▪ Although liver transplantation is a major operation and
the procedure of recovery can sometimes be severe but
anti-rejection medication makes the procedure simpler.
▪ If liver disease is identified before the end stage liver
disease and transplantation is undertaken then the
chances to recover increases quickly.
▪ The donor get discharged in about a week and recipient
in 2 to 3 weeks.
India is one of the perfect destination to consider for
Liver Transplantation because of availability of veteran
specialists, cutting- edge clinical solutions, research,
extraordinary patient care and infrastructure of world-
class standards. Hospitals like Fortis, BLK, Rockland,
Medanta, MAX, and Gleneagles Global are some of the
top Healthcare providers in India.
High success rates, affordability and best follow-up care
make India one of the best countries to consider for Liver
Transplantation.
Contact Details:-
MedMonks Medicare Pvt. Ltd.
Address : 503,Pearls Business Park
Netaji Subhash Place,
New Delhi – 110034
Ph No: 8448494488 (Your Local Country Charges Apply)
Email : wecare@medmonks.com
Website: https://medmonks.com/liver-transplant-india