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Liver transplant Operation Process

General anesthesia is used during liver transplant surgery, so you will be unconscious during the process.

To reach your liver, the transplant surgeon must make a lengthy incision across your stomach. Your surgeon’s technique and your individual anatomy will determine the placement and extent of your incision.

Your liver is removed by the surgeon, who then inserts the donor liver into your body. The donor liver is then connected to your bile ducts and blood arteries by the surgeon. It may take up to 12 hours for surgery, depending on your circumstances.

The surgical incision is closed by the surgeon using staples and stitches once your new liver is in place. After that, you’re brought to the critical care unit to start getting well.

Liver Treatment in India is associated with different top liver transplant hospitals providing you with the best treatment that you will get from the best liver transplant surgeons.

 

Donor Procedure

A comprehensive medical and psychological evaluation at a transplant center is required for both the donor and the recipient to be eligible for a living-donor liver transplant. During the evaluation phase, different transplant teams will take care of the donor and receiver and go over the possible advantages and disadvantages of the procedure in detail.

For instance, donating a piece of a liver entails considerable risks for the donor, even if the treatment frequently has the potential to save the recipient’s life.

Age, blood type, organ size, and other considerations are taken into account when matching recipients with living liver donors. Discover unparalleled liver transplant expertise with Liver Treatment in India Team, presenting an exclusive directory of the country’s top hospitals and leading liver transplant surgeons. Let us be your guide in connecting with the most proficient surgeons for exceptional liver transplant procedures and comprehensive treatment.

Living Donor Liver transplant

A living-donor liver transplant involves removing a part of a healthy living person’s liver and transplanting it into a patient whose liver is malfunctioning.

After a few months following surgery, the donor’s remaining liver regenerates and reaches its typical size, volume, and capacity. The recipient’s liver returns to normal as the transplanted piece grows at the same time.

Donor Evaluation and Selection Criteria

The act of living donation is voluntary. Donors need to have liver anatomy that is appropriate for donation and a compatible blood type. A major medical problem, such as liver disease, diabetes, heart disease, or cancer, cannot be present in a potential liver donor.

  • You must be a willing adult between the ages of 18 and 60 in order to donate a live liver.
  • Be ready to dedicate yourself to the surgical procedure, recuperation, and pre-donation examination.
  • Maintain healthy physical and mental health
  • Possess a blood type that pairs well (see below)
  • maintain good kidney and liver health
  • Maintain a healthy weight (BMI < 32).
  • Be prepared to give up drinking until you’ve recovered completely.

Surgical Procedure for Living Donor Liver transplant

Surgeons with advanced training perform living donor liver transplants in operating rooms. A skilled surgeon excises a part of the donor’s liver. The patient subsequently has a liver transplant in an operating room using this portion of the liver. Laparoscopes are used by surgical teams to carry out these procedures. An imaging tool called a laparoscope is used to view internal bodily processes. We refer to this process as keyhole liver transplant surgery. Not all hospitals may offer it because it is new. The liver is given by the doctor to both the donor and the recipient so they can live regular lives and continue to function as bodies. Both livers will grow back to their former size and begin to function normally in a few months.

Deceased Donor Liver transplant

About 75 of every 100 livers donated by deceased donors come from donors who underwent brain testing and were deemed to be deceased. This is known as donation after brain death (DBD) in the common language. 

About 25 of every 100 deceased donors’ livers come from people whose hearts have passed away. This is known as donation subsequent to circulatory death (DCD). 

This liver transplant procedure is more recent. It has helped keep many patients alive on the waiting list by greatly increasing the quantity of organs available for transplantation. It might, however, entail greater danger.

Before being transplanted, some donor livers are put on a machine that pumps blood through them. Machine perfusion is the term for this. With Liver Treatment in India Team, gain access to a curated list of the top rated liver transplant hospitals across the nation, featuring renowned liver transplant specialist. Our commitment is to support you in connecting with the foremost surgeons for effective liver transplant procedures and comprehensive treatment.

Deceased Donor Identification and Evaluation

A close relative, as defined by the THO Act, is a living donor for a liver transplant. This includes the recipient’s spouse, parents, siblings, grandparents, and kids. As long as they are in good health, pass all necessary exams, and comply with all legal criteria, any of these individuals can donate.

  • Blood group compatible with the recipient 
  • A close relative or member of the patient’s family (wife, husband, mother, father, brother, sister, son, daughter, grandfather, grandmother, grandson, granddaughter) is not eligible to donate. Nor are acquaintances, coworkers, or neighbours.
  • Age range of 18 to 55
  • Not obese, since those who are obese may have fatty livers
  • The liver of the donor should be big enough to accommodate both the donor and the receiver (patient).
  • Before deciding to volunteer for donation, a donor should be in good general physical and mental health, have undergone a complete medical and psychiatric evaluation, and be completely aware of the dangers associated with surgery.

Liver Treatment in India Team are associated with different top liver transplant centers providing you with the best treatment that you will get by the best liver transplant doctor.

Retrieval of the Donor Liver

After surgery, your liver will mend to its full size and restore your pre-donation state of health in a few months. Both persons will have fully developed, healthy livers when the other person’s new liver grows to its full size.

During the liver donation recuperation phase, you must:

  • Ask someone to take care of the kids and heavy cleaning.
  • Keep yourself hydrated.
  • Eat a nutritious, well-balanced diet to relieve and avoid constipation.

Your transplant team will arrange follow-up appointments to keep an eye on your transplant operation recovery and health while you’re recovering at home.

Following your liver transplant surgery, you will need to make the following clinic visits back:

  • Weeks one and four
  • Three months
  • Half a year
  • A year or two

If you are unable to attend the transplant centre again, you should schedule a physical examination with your primary care physician. We, at Liver Treatment in India Team, offer a comprehensive list of premier liver transplant hospitals in the country, showcasing best liver transplant centre in India. Our team is devoted to helping you find the best surgeons for superior liver treatment.

Recipient Procedure

Your liver is removed by the surgeon, who then inserts the donor liver into your body. The donor liver is then connected to your bile ducts and blood arteries by the surgeon. It may take up to 12 hours for surgery, depending on your circumstances.

The surgical incision is closed by the surgeon using staples and stitches once your new liver is in place. After that, you’re brought to the intensive care unit to start getting well.

General anaesthesia is used during liver transplant surgery, so you will be unconscious during the process.

To reach your liver, the transplant surgeon must make a lengthy incision across your stomach. Your surgeon’s technique and your individual anatomy will determine the placement and extent of your incision.

Administering Anaesthesia for the Transplant Procedure

A difficult procedure known as liver transplantation (LT) is carried out on patients with complicated physiology profiles that are made more difficult by multi-system failure. For end-stage liver disease, it is the preferred course of treatment. Under general anesthesia, the procedure is carried out. A thorough grasp of the pathophysiology of liver failure and its consequences is essential for a successful procedure. Even with improvements in immunosuppression, understanding, and professional proficiency, the administration of anesthesia for long-term tumors can be difficult and complex. Monitoring devices provide vital information for effective patient care. During surgery, hemodynamic instability is common and necessitates sophisticated invasive monitoring. It has been demonstrated that several trustworthy monitoring methods, including bispectral index (BIS), transcranial doppler (TCD), transesophageal echocardiography (TEE), rotational thromboelastometry (RO-TEM), and arterial pulse contour analysis and thermodilution techniques (PiCCO), are important decision-making tools.  Explore the excellence of liver transplant care with Liver Treatment in India Team, offering a comprehensive list of the nation’s top liver transplant hospitals and distinguished surgeons. Let us guide you in securing the services of the finest surgeons for superior liver transplant and overall treatment.

Surgical Incision and Exposure of the Diseased Liver

Patients with concomitant liver illness generally require surgery. Patients with various liver functions are more likely to experience morbidity and mortality. Patients with cirrhosis are more likely to have conditions that require surgery, such as gallstones and hernias. Prior to surgery, the degree of liver malfunction must be determined, and the procedure’s risks and benefits must be carefully considered. The degree of the illness might range from moderate elevation of transaminase to decompensated cirrhosis. In the event of an emergency, acute alcoholic hepatitis, juvenile class C cirrhosis patients, patients with a MELD score greater than 15, or any patient with substantial extrahepatic organ dysfunction, surgery should be avoided if possible. Liver Treatment in India Team has the list of best liver transplant clinics in India that provide the top liver transplant treatment. We will help you to get the best surgeons out there for liver transplant and liver treatment.

Hepatectomy – Removing the Diseased Liver

For both primary (originating in the liver) and secondary (originating in another organ and spreading to the liver) liver tumors, hepatectomy surgery is the primary therapeutic option. For the removal of benign (noncancerous) or malignant (cancerous) lesions, the surgeon favors partial liver resection.

  • Hepatocellular carcinoma (cancer of the liver), cholangiocarcinoma (cancer of the bile duct), and metastatic colorectal cancer are examples of malignant malignancies.
  • Gallstones in the intrahepatic ducts, adenoma (primary benign tumor), and liver cystadenoma or a cyst are examples of benign tumors.

 

Implanting the Donor Liver

The diseased liver may be removed and the donor liver implanted using several surgical techniques. The approach taken will vary based on your unique situation. After the damaged liver is severed from the blood arteries, it will be removed. Prior to being implanted into your body, your surgeon will examine the donor liver. Your blood vessels will be joined to the donor liver. Your replacement liver will begin to receive blood flow. Wherever you have stitches, the surgeon will look for any bleeding.