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Home » Treatment » Liver Transplant

Liver Transplant

Liver transplant is a highly advanced surgical procedure that is performed to help patients whose liver has been completely or partially damaged due to an underlying disease, infection or injury sustained in an accident. The procedure involves the replacement of the dysfunctional liver with a healthy lobe taken from a suitable donor. The liver is the largest gland in our body and is responsible for carrying out various vital functions. The normal functioning of the liver is important for a long and healthy life. Liver transplant is usually the last resort of treatment when medicines and therapies fail to give the desired results.

Liver transplant is majorly classified into two types depending upon the type of donor. If the liver lobe is taken from a living donor, the transplant is said to be a living donor liver transplant, however, if the lobe is taken from a deceased person, the transplant is known as a cadaveric liver transplant.

Major indications of Liver Replacement

Liver transplant is usually recommended to patients who are facing severe complications due to an end-stage liver ailment. Here are some major indications that may call for the need for a liver transplant:

  • Acute hepatic fulminant failure
  • Extrahepatic biliary atresia or hypoplasia
  • Congenital metabolic abnormalities
  • Sclerosing cholangitis
  • Hepatic vein thrombosis
  • Hepatocellular Carcinoma
  • Cirrhosis

How to prepare for the procedure?

Once you have found a suitable donor, you will be given a fixed date for the transplant. However, before initiating the procedure it is important to ensure that the patient is mentally and physically prepared for the procedure.

  • The doctors will perform some tests and screening to evaluate your overall health
  • The procedure will be explained to you briefly to make sure that you are well aware of all the benefits and potential complications
  • If you are on non-steroidal anti-inflammatory drugs, you will be asked to stop taking these a week prior to the surgery
  • You will be required to make some healthy changes in your diet and lifestyle to make sure you are fit for the surgery
  • Alcohol is strictly prohibited as even a small amount can lead to severe complications
  • Drink plenty of water before the surgery as this will help you to empty your bowels

How is the procedure performed?

The procedure is performed under the influence of anaesthesia such that the patient does not feel any pain or discomfort. The doctor will clean the area and make a long incision across your abdomen to access your liver. The location and size of the incision vary from patient to patient depending upon the type of approach followed. The damaged liver is carefully removed and replaced with the healthy lobe taken from the donor. The blood vessels and bile ducts are connected to the new liver. The whole procedure may last for as long as 12 hours.

What follows after the procedure?

After the procedure, the patient is kept under keen observation in the ICU for at least 24 hours. The patient is required to stay in the hospital for a week or two depending upon the overall progress. Before discharge, the patient is given a set of guidelines that are to be followed religiously:

  • Take the medicine prescribed by the doctor
  • Go for frequent health checks
  • Follow a healthy diet as recommended by your doctor/dietician
  • Strictly avoid alcohol
  • Do not indulge in rigorous activities.
  • Avoid activities that induce an unnecessary strain or pressure in the incision site

What are the benefits of a Liver Transplant?

The various benefits of liver transplant are as follows:

  • Improved quality of life
  • A chance at a longer life
  • Enhanced long term outcomes
  • Relief from pain and other symptoms

Are there any risks involved?

Just like any other medical procedure, there are certain risks associated with liver transplant as well. These include:

  • Organ rejection
  • Infection at the site of incision

Blood clotting

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Dr. Abdul Rahman Hakeem

Consultant, Abdominal Trauma,
Dr. Rela Institute and Medical Centre

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Dr. Rela Institute and Medical Centre, Chennai

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Dr. Abhideep Chaudhary

Senior Director & HOD - HPB Surgery & Liver Transplantation
BLK Super Speciality Hospital

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Dr. Ajitabh Srivastava

Senior Consultant- Liver Transplant
Fortis Memorial Research Institute

He has an experience of 12 years in these fields.

Dr. Ajitabh Srivastava has participated in more than 1500 liver transplants including living donors, deceased donors, pediatric transplants, and combined liver and..
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Fortis Memorial Research Institute, Gurugram

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Dr. Ajitabh Srivastava

Senior Consultant- Liver Transplant,

He has an experience of 12 years in these fields.

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Dr. Akash Shukla

Professor and Head Department of Gastroenterology
Global Hospitals Mumbai.

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Dr. Akash Shukla

Professor and Head Department of Gastroenterology,

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Dr. Amit Kumar Singhal

Associate Director Liver Transplantation & HPB Anaesthesia
BLK Super Speciality Hospital

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Dr. Amit Kumar Singhal

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BLK Super Speciality Hospital Pusa Road, New Delhi-110005

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Dr. Ankur Garg

Consultant - HPB Surgery & Liver transplant
Nanavati Hospital

Dr. Ankur Garg practices as a Head & Sr Consultant - HPB Surgery & Liver transplant at Nanavati Super Speciality Hospital ..
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Nanavati Hospital, Mumbai

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Dr. Ankur Garg

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Dr. Anurag Shrimal

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Global Hospitals Mumbai.

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Dr. Anurag Shrimal

Consultant - Liver Transplant & Biliary,

He has 16 years of experience

35, Dr. E Borges Road, Hospital Avenue, Opp Shirodkar High School, Parel, Mumbai, Maharashtra, India, Pin Code-400012.