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Following are the major indications for this surgery.-
Chronic Hepatitis B and C with cirrhosis
Primary biliary cholangitis, which is a rare condition where the immune system inappropriately attacks and destroys the bile ducts
Sclerosing cholangitis, which means scarring and narrowing of the bile ducts inside and outside of the liver, which causes a backup of bile in the liver
Wilson’s disease, which is a rare inherited disease with abnormal levels of copper in the whole body including the liver
Hemochromatosis, which is a common inherited disease that makes iron quantity in the body high
Alpha-1 antitrypsin deficiency, which is an abnormal buildup of alpha-1 antitrypsin protein in the liver, which eventually results in cirrhosis
As soon as a liver has been identified, the liver transplant coordinator or the doctor will contact and inform the patient about it. Following things must be followed strictly by the patient once he is called to the transplant center or the hospital after the intimation-
He must not eat or drink anything after getting the intimation,
When the patient arrives at the hospital, additional blood tests, electrocardiogram, and a chest X-ray will be conducted before the surgery.
If the liver of the donor matches the patient’s liver then the transplant procedure would start on the same day, otherwise, the patient would be sent back home in case of mismatch.
This surgery is done using general anesthesia, which would make the patient completely unconscious and go into deep sleep keeping him unaware during the whole procedure.
Firstly, the transplant surgeon will make a long incision across the patient’s abdomen to get access to the liver. The location and size of the incision may vary as per the surgeon’s approach and the patient’s anatomy. Now, he will disconnect the liver’s blood supply and the bile ducts to remove the diseased liver and place the donor’s liver in the patient’s body and reattach the blood vessels and the bile ducts. Finally, the surgeon with the help of stitches and staples would close the surgical incision. This is the procedure if the donor is a deceased person.
In case, if the donor is a living donor then, only a portion of his liver will be substituted. The surgeon first operates the donor and removes a portion of his liver for a transplant. Then, he removes the dysfunctional liver of the patient and places the donated liver portion in his body. And finally, the surgeon connects the blood vessels and bile ducts to the new liver.
Soon the transplanted liver in the patient’s body and the portion of the liver left inside in the donor’s body would regenerate rapidly, which would start functioning normally within a couple of months. You can request for the cost of liver transplant in Kolkata on Credihealth’s website.
Usually, the doctor may ask the patient to stay in the hospital for 2 to 3 weeks after the surgery. The patient will be shifted from the intensive care unit to the regular nursing room. The nursing staff and doctors would do the following things before discharging you from the hospital-
They will make the patient aware of the new medications and how to monitor his blood pressure and pulse rate.
They would make you learn about the signs of rejection and infection of the new liver.
Generally. A patient returns to the hospital approximately 4 months after the transplant to get the T-tube removed from his body, which was placed by the surgeon during the time of surgery.
This surgery has a risk of significant complications, which are associated with the surgical procedure itself and with the drugs necessary for the patient to prevent rejection of the donor's liver after the transplant. Common risks associated with the procedure are-
Bile duct complications, which include bile duct leaks or shrinking of the bile ducts.
Rejection of donated liver
Mental confusion or seizures
After surgery, the doctor would prescribe medications that the patient needs to take for the rest of his life to help prevent his body from rejecting the donated liver. These anti-rejection medications also known as an immunosuppressant (which suppress the immune system), which can cause various side effects such as-
High blood pressure
These immunosuppressants carry the risk of infection for which the doctors would prescribe more medications to fight the infection.
For more information on liver transplant cost in Kolkata, contact Credihealth Medical Experts at 8010-994-994.