Liver Transplant or hepatic transplantation is the process of replacing complete or a part of a diseased liver with the healthy liver from a donor. conditions like end-stage liver disease and acute liver failure, has Liver transplantation as a only treatment option sometimes.
Although availability of a healthy donor organs is a major limitation.
Liver is the largest internal organ and performs several critical functions, like processing nutrients, medications and hormones.
Liver produces bile, which helps the body absorb fats, cholesterol and fat-soluble vitamins. It also makes proteins that help the blood clot, remove bacteria and toxins from the blood thus preventing infection and regulating immune response of the body.
Liver transplant procedure can be of two types based on donor, either deceased donor or living donor.
In deceased liver transplant, the complete liver is taken out from the cadaver and is placed into recipient's body.
Whereas in case of living donor, only a part of liver can be transplanted which will later regrow and become fully functional in few weeks.
After placing the donor liver the bile duct and vessels are attached to it and patient is put under observation for further healing and regeneration.
The right doctor for liver transplant surgery is a Gastroenterologist, Hepatologist or Liver Transplant Surgeon.
The cost of a Liver Transplant includes:
Preoperative diagnostic tests cost [some tests that may be required, including blood tests (Bilirubin, Prothrombin Time, Creatinine, Albumin), a chest X-ray, an electrocardiogram (EKG), and an abdominal ultrasound]
The surgery cost package includes donor liver resection and liver transplant to the patient.
Post-Operative cost (depends on the number of follow-up sessions)
Medicine cost (Immunosuppressants, Pain Killers, Antibiotics, etc.)
Cost of immunosuppressant injections (if required)
Patient's hospital stay
Donor's hospital stay
Note: Extra care is needed after Liver Transplant since there is a risk of infection, so the patient may need to stay in a sterile environment during recovery.
The overall cost of the procedure also varies based on the patient's condition and preferences. Some of these factors are:
Type of hospital and room opted (General, Twin sharing or single room)
The severity of the disease
Additional tests may be needed, like Tissue Biopsy
Post-surgical complication, if it happens (such as bleeding, rejection of the donated liver, etc.)
Cost of Blood products (if required)
An extended stay at the Hospital due to any health reason apart from the package stay period
Cost of Accommodation during follow-ups, in case the patient is not a local resident
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In general, around 75% of people who undergo liver transplant surgery, live for at least five years. That means, for every 100 people who undergoe a liver transplant, around 75 of them will live for more than five years and 25 will die within five years.
There are several pre-liver transplant tests that you will have to get including an MRI of the abdomen/pelvis, CT scan of abdomen/pelvis, colonoscopy, dobutamine stress echocardiogram (DSE), ultrasound of abdomen/pelvis, electrocardiogram/chest X-ray,, mammogram or pap smear for women, and other testing and blood work. The package typically includes the cost of these tests too.
Immediately after the liver transplant, the patient must take three medications in high dosages to avoid rejection of the liver. Later, different assortments of medications and lesser dosages are given to the patient to minimize side effects and the immune system to recover. The medicine cost is included in the package when the patient is in the hospital getting a liver transplant. However, medicines taken for recovery are not covered in the package.
For a liver transplant, you will have to stay at the hospital for about 2 to 3 weeks. Some patients go home sooner depending on their health. The first follow-up is generally within 1 to 2 weeks after you leave the hospital. The follow-ups will continue for 3 alternating months in the first year and then once a year for the rest of your life.
After getting a liver transplant, you need to follow up with your doctors who may take several blood tests to check the health of your new liver, which will cost you extra. You will also need to take immunosuppressants that help your body not prevent the transplanted liver. To avoid complications such as bleeding (hemorrhage), bile leakage, loss of kidney function, etc., you will have to take certain medications, which will cost you extra. We highly suggest you contact your doctor to know the best treatment course for you.
Yes, a liver transplant is generally covered in your health insurance under the “Donor expense cover”. You may still contact your insurance provider to know more about different plans and coverage.
A liver transplant is an effective option to treat liver damage, however, due to the long waiting list to find the perfect matching donor, people settle for lesser treatment options including extracorporeal artificial liver devices, bioartificial liver devices using hepatocytes, or hepatocyte transplantation. Do check in with your transplant doctor to know the best course of action.
Rejection is your body's way of not accepting the transplant. Although rejection is most common in the first six months after surgery, it can occur at any time.
A liver transplant is surgery to replace a diseased liver with a healthy liver from another person. A whole liver may be transplanted, or just part of one.The liver is the only organ in the body that can replace lost or injured tissue (regenerate). The donor's liver will soon grow back to normal size after surgery.
In general, about 75% of people who undergo liver transplant live for at least five years.
The age limit is individualized as it varies with a patient's overall health condition. However, it is rare to offer liver transplant to someone greater than 70 years old.
89-90%
Attested birth certificate of the patient and the donor, Attested family records of the patient and the donor, Passport copies of the patient and the donor and in case of a married donor, an attested consent of the donor's husband/wife. There could be other documents specific to your case, and you must talk about it in detail with your case manager.
Liver transplant is the procedure which is used for replacing the diseased part of the liver with the healthy part of the liver called as donor.
Liver transplant is needed in case of some conditions such as chronic hepatitis with cirrhosis, primary biliary cholangitis, sclerosing cholangitis, alcohol overuse, liver cancer, wilsons disease and hemochromatosis.
The chances of living after liver transplant is 89%. In some cases the transplanted liver can fail or the original disease may come.
The result of liver transplant is excellent, most people have lead a normal life even after 30 years after surgery.
You are not eligible for liver transplant if your age is 65 years or more than it and you are having severe obesity with disease such as hepatitis B.
Most people who undergone liver transplant can live for more than 10 years and many patients can live for 20 years or even more than it. According to a study it is said that 90% of people who have undergone liver transplant has survived for one year or even more.
The duration of the surgery ranges from 4 to 18 hours depending on outcome.
After the liver transplant, patients will be in the intensive care unit for two days. After that, they are in the regular part of the hospital for about eight to ten days.
Liver transplant is a major surgery it will take around six to twelve hours to complete.
In liver transplant the surgeon first operate on the donor part of your liver by removing the portion of liver required for transplant. Then the surgeon removes the disease part of your liver and place the donated part of your liver and then blood vessels and bile ducts are connected to new liver. The following steps are being followed during liver transplant surgery:
Liver transplant patients will need to take some combination of medications for life after their transplant.
You will definitely have some pain after liver transplant but the pain is not severe just like other abdominal surgeries because the nerves which are disconnected during the initial abdominal incisions causes numbness of the skin and near the abdomen and the nerves regenerate in six months after surgery.
The recovery time after liver transplant will be of six months or more before you are completely healed. You will be able to do your normal activities and go back to work within a few months after surgery.
Complications of liver transplant includes acute graft rejection, vascular thrombosis, biliary leak or stricture, infection and malignancy.
If your body rejects liver transplant then your body may experience some mild symptoms for it initially such as having high fever, increased liver function tests, yellowing of the eyes and skin and fatigue.
There are very less chances of rejection in liver transplant, only 30 out of 100 patients have suffered from rejection. The risk of rejection after liver transplant is very high in the first six months after transplant because at this time there is less chance that your body will recognise liver coming from another person.
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