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Liver Transplant Surgery

WOCKHARDT CENTRE FOR LIVER DISEASE.

Result of a collaboration between world-renowned South Asian Liver Institute & Prestigious Wockhardt Hospitals. This combination brings together vast experience, superb infrastructure & excellent ethics to create a world-class liver center in the heart of Mumbai!

Sobo Logo          South Asian Liver Institute

Wockhardt Hospital has India’s leading Liver Wellness & Transplantation program in collaboration with Senior Liver Transplant Surgeon, Prof. Dr. Tom Cherian, the founder of the South Asian Liver Institute. Owing to our state-of-the-art infrastructure and team of highly-accomplished liver doctors and surgeons, we provide the most refined surgical approach.

 

Understanding the Liver & Disease

One of the largest internal organs of the body, the Liver, performs more than 5000 functions. Some of its essential functions include removing toxins from the blood, controlling the hormone levels to convert the food we eat into nutrients, digestion, immunity, and much more.

According to WHO, cases of liver disease in India are on the rise. Liver complication is one of the top 20 causes of death all over the country. Every year, around 2000 people die from liver cancer. Diseases like alcoholic liver disease, hepatitis B, non-alcoholic fatty liver disease, and hepatitis C are some of the most common causes of liver disease, leading to a liver transplant.

 

What is Liver Transplantation?

In a Liver transplantation procedure, a healthy liver from a deceased donor or the portion of the Liver from a healthy & living donor is substituted for one that is failing to function properly (in case of Liver Failure). The demand for liver transplants in India is about 25,000 every year, but only 1200 to 1400 liver transplants actually happen.

 

Why is a Liver Transplant Done?

Some patients with liver cancer and those with liver insufficiency who are not responsive to other therapies may benefit from a liver transplant. A liver transplant may be performed in case of the following conditions –

 

  • Liver failure – Liver failure can be of two types: Acute or Chronic.
    • Acute liver failure – Acute liver failure can occur due to hepatitis A or B, rat poisoning, or excessive ingestion of paracetamol.
    • Chronic liver failure – Chronic liver failure can occur due to excessive consumption of alcohol, autoimmune diseases, or long-term damage caused by hepatitis B or C.
  • Hepatitis – An inflammation in the Liver is referred to as Hepatitis. It can be caused by drinking alcohol, a number of medical disorders, and several drugs.
  • Fatty Liver Disease – Steatosis, also known as fatty liver disease, is a common disorder caused by a collection of too much fat in the Liver. When fat amounts to 5% to 10% of your Liver’s weight, it becomes an issue.
  • Liver Cirrhosis – Cirrhosis is a later stage of liver scarring (fibrosis) due to a variety of liver disorders and conditions, including prolonged drinking and Hepatitis.

 

Types of Liver Transplant Performed at WOCKHARDT CENTRE FOR LIVER DISEASE by Prof Dr. Tom Cherian & Team.

Liver transplantations can be of two types –

  • DDLT (Deceased Donor Liver Transplantation) – A liver from a patient who is brain dead or deceased can be used for a liver transplant procedure. A patient who needs a new liver and is on the waiting list for the same would receive it.
  • LDLT (Living Donor Liver Transplantation) – In this type of transplantation, a small part of a healthy living person’s Liver is extracted and placed into the recipient. This part of the Liver would grow to 90% of its original size within almost three months of transplantation. The living person in such cases is usually a first-degree relative of the patient, including their spouse, parents, grandparents, children, siblings, and grandchildren. A distant relative may be considered if a suitable match isn’t found.

 

Treatment of Liver Disease at WOCKHARDT CENTRE FOR LIVER DISEASE by Prof Dr. Tom Cherian & Team.

At Wockhardt Hospitals, Prof. Dr. Tom Cherian Senior Liver Transplant surgeon along with his team of specialists doctors and nurses who are experts in this field, with several years of experience, with their accurate diagnosis combined with world-class equipment and technologies, we offer excellent patient care and treatment for several liver conditions, including fatty Liver, autoimmune liver diseases, liver cancer, viral Hepatitis, alcoholic liver disease, and genetic liver diseases.

At the Liver Transplant Clinic at Wockhardt Hospitals, we have some top-of-the-line facilities and approaches for liver transplantation.

  • Operation Theatres (OTs) – At the Wockhardt Hospitals in Mumbai, we have Operation Theatre (OT) suites that have been designed specifically for transplant surgeries. These modular, integrated operating rooms adhere to global standards for health and safety.
  • Intensive Care Unit (ICU) – At Wockhardt Hospitals, 100 beds have been dedicated to the intensive care unit and are connected to the IntelliSpace Critical Care & Anaesthesia (ICCA) system, an advanced patient monitoring system that allows for the errorless auto charting of each patient 24 hours, 7 days a week. 9 of these 100 beds are Liver transplant ICU beds, with negative as well as positive pressure isolation.
  • Teamwork Approach – Teamwork is a must when it comes to having a good outcome after a liver transplant surgery. Our team of specialists at Wockhardt Hospitals includes transplant surgeons, intensivists, physiotherapists, physicians, hepatologists, anesthetists, and nutritionists. All of them work together to provide a tailor-made approach for each patient to ensure the best care and treatment.

Risks of Liver Transplant

With any major surgery, there are certain risks that may arise, including:

  • Bleeding
  • Rejection or Failure of new Liver
  • Seizures
  • Mental Confusion
  • Bile Duct Complications
  • Blood Clots

Preparing for a Liver Transplant

Before undergoing a liver transplant, a prospective patient at Wockhardt Hospitals would have to undergo several tests such as lab tests (blood and urine), imaging tests (liver ultrasound), heart tests, and a general health checkup.

 

After a Liver Transplant

After your liver transplant operation, you can expect a six-month or longer recuperation period. A few months following surgery, you might be able to return to your regular activities or your job depending on how unwell you were before your liver transplant, how long it takes you to recover may vary.

Patients who have undergone liver transplant surgery would have to come back for a follow-up appointment 1-2 weeks after their surgery. They would then have follow-up visits 3, 6, 9, and 12 months post their transplant. They would have to come for a checkup every year.

They might also have to make certain lifestyle changes to maintain their health. These include –

  • Exercising regularly
  • Avoid Smoking
  • Eating a Balanced Diet
  • Avoid eating raw fish, eggs, or meat.
  • Take the precaution of limiting contact with things that may have germs, such as mosquitoes, rodents, birds, soil, ticks, reptiles, and lake or river water.

A study has found that those who receive a liver transplant had an 89% probability of surviving after a year.

Under the leadership of Prof. Dr. Tom Cherian, with his team of doctors, certified nurses and well-trained medical staff from the South Asian Liver Institute at Wockhardt Hospitals provide personalized care and comfort to the patients for quick post-operative recovery. We specialize in performing the full spectrum of liver-related transplantations, including Split Liver transplants, Deceased/Living Donor Liver Transplant, and Paediatric Liver Transplant. If you are searching for the top Liver Transplantation Clinic in Mumbai with all-inclusive treatment technologies and facilities, Wockhardt is the most preferred choice.

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