Best Hospitals for Liver Transplant in India

Organ Donation – an overview

Today, organ donation provides hope to a plethora of people around the globe. Though it’s a difficult decision, it’s a major leap of hope for patients with end-stage organ failure. But unfortunately, the number of people awaiting organ donation is always higher than the people willing to donate.

While our body overall depreciates during the lifetime, sometimes diseases or genetics may attack and destroy one specific organ while the remaining body remains comparatively healthier. It depends on which organ is wearing down. There are various life-sustaining treatment options before transplantation, which can be helpful to improve your health. For example, when it comes to kidneys, dialysis helps a person who has damaged kidneys.

Types of organ donation

There are principally two types of organ donation – living donation and deceased donation.

Living organ donation

Living donation is when someone donates a portion of their liver or one of their kidneys to a patient while the donor is still alive. Living donors can donate one kidney, a lung, or a portion of the liver, pancreas, or intestine. This offers an alternative for people waiting for a deceased donor, and it increases the number of organs available, saving more lives. Living donors can be friends, spouses, family members, or altruistic donors, who wish to help someone in need.

Deceased organ donation

It is important to remember, that deceased donation is only possible after all attempts to save the patient’s life have been tried, and brain death has been declared. Even though the person, who is brain dead, is technically dead,

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but the organs would be still functioning and hence appropriate for organ donation. Such a donor can donate kidneys, liver, lungs, heart, pancreas, and intestines. In 2014, hands and faces were added to the organ transplant list.

Overview : Liver Transplant

The liver is the body’s largest internal organ, located below the diaphragm on the right side of the abdomen. Liver has a unique ability to regenerate. In fact, up to 70 percent of the liver can be safely removed without causing any inconvenience for a healthy individual. The remnant liver grows rapidly to re-establish the full functional capacity required for an individual, within a week’s time, though sometimes it may take about 3–4 weeks for the liver to attain its former size.

The liver performs many complex functions in the body, including:

Makes most proteins needed by the body
Metabolizes, or breaks down the nutrients from food to make energy, when needed
Prevents shortage of nutrients by storing certain vitamins, minerals, and sugar
Makes bile, a compound needed to digest fat and to absorb vitamins A, D, E, and K
Makes most of the substances that control blood clotting
Removes potentially toxic by-products of certain medications

When is Liver transplant needed?

Liver transplantation surgically replaces a failing or diseased liver with one that is in good physical shape. At this time, Liver Transplant in India is the only cure for liver insufficiency or liver failure. Liver failure can happen suddenly (acute liver failure) as a result of viral hepatitis, drug-induced injury or infection. Also, liver failure can also result of a long-term problem. The following conditions may result in chronic liver failure:

Chronic hepatitis with cirrhosis
Primary biliary cholangitis (previously called primary biliary cirrhosis, it isa rare condition where the immune system inappropriately attacks and destroys the bile ducts)
Sclerosing cholangitis (scarring and narrowing of the bile ducts inside and outside of the liver, causing the backup of bile in the liver)
Biliary atresia (a rare disease of the liver that affects newborns)
Alcoholism
Wilson’s disease (a rare inherited disease with abnormal levels of copper throughout the body, including the liver)
Hemochromatosis (a common inherited disease where the body has too much iron)
Alpha-1 antitrypsin deficiency (an abnormal rise in alpha-1 antitrypsin protein in the liver, resulting in cirrhosis)

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Evaluation for Liver Transplant

Once you decide where you would like to have your liver transplant surgery, you’ll need to have an evaluation to see if you’re eligible at the Best Hospitals for Liver Transplant in India. The evaluation will check to see if you:

Have a liver condition that would benefit from transplantation
Might benefit from other less aggressive treatment options
Are healthy enough to undergo surgery and post-transplant treatments
Are willing and able to follow the medical program outlined by the transplant team
Can emotionally handle the wait for a donor liver
Have a supportive network of family and friends to help you during this stressful time

List of Best Hospitals for Liver Transplant in India

Medanta Hospital, Gurgaon
Max Healthcare Hospital, Delhi
Apollo Hospital, Delhi
Fortis , Delhi
Blk Super Speciality Hospital, Delhi
Kauvery Hospital, Chennai
Sahyadri Hospital, Pune
Dr Kamakshi Memorial Hospital, Chennai, Tamil Nadu

Sir Ganga Ram Hospital, Delhi
Saroj Super Speciality Hospital, Delhi
Manipal Hospital, Bangalore
Artemis Hospital, Gurgaon
Billroth Hospital, Chennai, Tamil Nadu
KIMS Hospital, Hyderabad
Paras Hospital, Patna
Dharamshila Narayana Superspeciality Hospital, New Delhi

Wockhard Hospital, Mumbai
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Jaslok Hospital, Mumbai
Sir H N Reliance Foundation Hospital, Mumbai
Lilavati Hospital, Mumbai
Continental Hospital, Hyderabad
Aster Medcity, Kochi Kerala
Amrita Hospital, Kochi
Sri Ramachandra Medical Centre, Chennai

List of Top Liver transplant Surgeon

Dr. Mohamed Rela
Dr. A. S. Soin
Dr. Subhash Gupta
Dr. Ramdip Ray

Dr. Vivek Vij
Dr. Rakesh Rai
Dr. Anand Khakhar
Dr. Mohd Abdun Nayeem

Dr. Ravi Mohanka
Dr. Sanjiv Saigal
Dr. Giriraj Bora
Dr. Naimish Mehta

Request your appointment with the Top Liver Surgeons in India at the Best Liver Transplant Hospitals in India.

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Medical specialists from a variety of fields are required to settle on, if a liver transplant is finalized as the appropriate course of action for a particular patient. This team of specialists evaluate – review the patient’s medical history, conduct various tests and then decide the candidates for a liver transplant surgery. The team of specialists may include the following professionals:

A Liver specialist (Hepatologist)
Transplant surgeons
A transplant coordinator, usually a registered nurse, who is proficient in catering to liver-transplant patients
Social workers to discuss about the patient’s family and friends, employment history, and financial strength
A psychiatrist to make it easy for the patient to deal with issues like anxiety or depression, which may accompany a complex procedure like liver transplant
An anesthesiologist to make the patient aware about the potential anesthesia risks
A chemical dependency specialist to help such patients, who have history of alcohol or drug abuse
A financial counsellor, who acts as a bridge between the patient and his or her insurance companies

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You cannot have a transplant if you have:

Cancer in any other part of your body
Serious heart, lung, or nerve disease
Active alcohol or illegal drug
An active and severe infection

About the Procedure

The transplant involves a major operation to remove the diseased liver and replace it with a normal donor liver. This may sound relatively easy, but the surgery is very demanding and can take between 6-18 hours to complete. The diseased liver must be disconnected from four major blood vessels and the tube that carries bile from the liver to the intestines, known as the bile duct, has to be disconnected from the bowel. The new liver is then placed in the proper position, and the major blood vessels and bile duct are reattached to complete this complex procedure. Get in touch with us for Affordable Cost of Liver Transplant Surgery in India.

Deceased-donor liver transplant

It isn’t necessary to match the donor and recipient for age, sex or race. All donors are screened for hepatitis viruses and the HIV virus. What’s more, all deceased donor organs are tested extensively to help ensure that they don’t pose a health threat to the recipient. As soon as a deceased donor is declared brain-dead, the liver is removed and placed in sterile fluid similar to fluid in body cells. It is then stored in the refrigerator. The harvested liver needs to be transplanted within 24 hours of recovery – which is why recipients are often called to the hospital in the middle of the night or at short notice.

Living-donor liver transplant

Regeneration happens over a short period, possibly days to weeks and certainly within eight weeks. When surgeons remove a piece of the donor’s liver, the part that remains grows back quickly to its original size. Get in touch with us to know the Liver Transplant in India Success Rate.

What follow-Up is necessary after a Liver Transplant Surgery?

Your first return appointment after a liver transplant will generally be scheduled about 1 to 2 weeks after discharge. Patients usually return to their transplant hospital approximately 5 months after the transplant. If a T-tube was inserted during the operation, it will be removed by the transplant surgeon at this time. Typically patients are scheduled to return to the hospital at their 1-year transplant anniversary date and annually thereafter.

Expect six months or more recovery time before you’ll feel fully healed after your liver transplant surgery. You may be able to resume normal activities or go back to work a few months after surgery.

Chances of rejection:

Practicing good hygiene, obtaining routine vaccines, and making healthy lifestyle choices are very crucial after a complex procedure like liver transplant, to bring down your risk of infection. Your body will regard your new liver as a foreign object. You will need regular medication to prevent your immune system from attacking the liver.

Complications associated with Liver Transplant

Two of the most common complications following liver transplant are rejection and infection.

Rejection:

Your body’s natural defences, the immune system works to destroy foreign substances that invade your body. The immune system, however, cannot distinguish between your transplanted liver and unwanted invaders. When the liver is transplanted from one person (the donor) into another (the recipient), the immune system of the recipient triggers the same response against the new organ that it would have against any foreign material, setting off a chain of events that can damage the transplanted organ. This process is called rejection. It can occur rapidly (acute rejection), or over a long period of time (chronic rejection). Rejection can occur despite close matching of the donated organ and the transplant patient.

Infection:

Because anti-rejection drugs that suppress your immune system are needed to prevent the liver from being rejected, you are at higher risk for infections. This problem lessens as time passes. Not all patients have problems with infections, and most infections can be treated successfully as they happen.