Process of liver transplant and types of liver transplants

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Liver transplant begins with the referral to transplant center by the doctor. The patient is examined by the team of doctors to determine whether the patient is in need for transplant. The examination is done by testing blood, urine, physical examination, x rays, imaging tests and tests are also conducted to test the function of heart, kidneys and lungs.

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The liver transplant is Liver Transplant in Delhi complex and can last up to 12 hours. The patient receiving the liver is given general anesthesia.  The intravenous lines are inserted to give medicine and fluid and catheter drain the urine from bladder.  An incision is done at the upper abdomen and surgeon access the liver. The liver, which is to be removed from the patient, is detached from blood vessels, and bile duct.

The donor liver is then put in the same place, where the damaged liver is taken from. It is also noted whether the donor liver is producing the bile. The blood vessels and bile duct of the recipient is attached with the donor liver. If the bile duct of the recipient cannot be attached with the bile duct of the donor liver, then the bile duct of the donor is drained into the small intestine loop.

After the surgery, the patient is shifted to the intensive care unit. After some stabilization, the breathing tube for general anesthesia is taken out and patient is send to general ward. The patient has to stay in the hospital for couple of weeks.

The person giving segment of the liver also has to stay in hospital after surgery for at least one week. The donor also has to go through surgery, in which segment of the healthy liver is taken out.

Types of liver transplant –

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There are three ways to perform the liver transplant. One is deceased organ donation from the person who is already dead. Other is donation from the person who is living. The segment of the living healthy Liver Transplant Hospital in Delhi  liver is taken out from the living person. The segment in both the donor and receipt can grown into normal size .Third is split donation, here the segment from the deceased person‘s liver is given to two persons. The segments can grow into normal sizes in two different persons.

The person who receives the liver can return to the normal life after some months. The patient has to take medicine to stop the body from rejecting the new liver. This medication, immunosuppressant has to be taken for the rest of the life by the person who received liver.

Reasons that lead to liver transplantations

Liver Transplant Surgeon

Liver is the largest internal organ in the body. It is produces over 1000 enzymes and performs over 500 functions. In the case of liver failure, the liver transplantation becomes necessary. The liver is the only organ of the body that can grow to full within few weeks of transplantation.  Only 25 % of the transplanted liver can grow into full liver after weeks of transplantation.  But in case of failure of liver to function, the liver transplantation becomes necessary as there is no device or machine that can replace liver in the human body.

Diseases that can lead to liver transplantation –

Acute liver failure can result from chronic liver hepatitis, which can be hepatitis B, C and D, which can cause inflammation and permanent damage to the liver.  Other disease is autoimmune hepatitis in which the body‘s immune system does not function properly and leads to destruction of liver tissue. The deposition of fat in the liver can also damages the liver

The acute liver failure can happen when the liver has suffered massive injury that has rendered it ineffective to perform the normal functions. Overdose of medicines, viral infection, eating some poisonous substances such as mushroom can also lead to liver failure.

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Chronic liver failure can also damage the liver permanently. Though, liver has ability to regenerate itself, but repeated injuries or repair over many years may render it incapable of regeneration. The end stage, when liver is not able to regenerate itself is called cirrhoses. The cirrhosis of liver is the stage, when transplantation of the liver becomes necessary. Then there are some genetic diseases and failure of liver due to heavy consumption of alcohol.

Liver transplantation Liver Transplant in Delhi operation involves removal and preparation of the livers from donor and patient. The implantation of the liver must be done carefully, because liver has several connections, all of which must be reconnected for receiving blood and draining bile from liver. The structures that are connected are inferior vena cava, the hepatic artery, bile duct and portal vein. The exact method of connecting depends on the donor and recipient’s anatomy issues or in some cases the diseases of the recipient.

Liver Transplant Surgeon

The success rate Liver Transplant Hospital in Delhi of liver transplantation rate is very high. In some cases about 1-5 %, the newly transplanted liver may not function properly or normally. If the transplantation is not successful, then the patient may require second transplantation immediately.

Causes and Treatments of Chronic Liver Diseases

Liver Transplant Surgeon

Most of the liver diseases can be classified into acute and chronic liver diseases. Process of progressive destruction is associated with liver diseases that are known as chronic liver diseases. In addition to this, the chronic liver diseases are associated are associated with regeneration of the liver parenchyma. This blog discusses causes of the chronic liver diseases and treatment of the chronic diseases in Delhi.

 In addition to this, the chronic liver diseases results in fibrosis and cirrhosis. If left untreated, the patients with chronic liver diseases last over a period a six month.  The chronic liver diseases consist of inflammation of liver. In addition to this, the chronic liver diseases cause cirrhosis and Hepatocellular cirrhosis.

Causes of the Chronic Liver Diseases

The chronic liver disease can be caused by viral causes. It can be caused by hepatic B and hepatic C. chronic liver diseases can be caused alcoholic liver diseases. In addition to this, the chronic liver diseases can be caused by rarely drug induced liver diseases. Acute liver damage can be caused by Paracetamoll and allied drugs.  In addition to this; chronic liver diseases can be caused by cytomegalovirus and Epstein Barr virus.

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Non-alcoholic fatty liver disease can also cause liver chronic diseases. In addition to this, the chronic liver diseases can be caused by Right heart failure. Autoimmune hepatitis can also cause chronic liver diseases.

Treatment of Chronic Liver Diseases in Delhi

Depending on the causes, the treatment of chronic liver diseases are prescribed by doctors having expertise in the chronic liver diseases in Delhi. Medications such as corticosteroids can be treated through chronic liver diseases in Delhi. Other medications used for treatment of the chronic liver diseases are interferon and antiviral. For treatment of specific conditions of the chronic liver diseases, the doctors can prescribe bile acids.

Complications of the cirrhosis can be treated through the support therapy such as diuretics, albumin and vitamin K.  For treatment of cirrhosis, the use of blood products, nutritional therapy is précised by doctors.

All the support therapy is accompanied with the use of high dose of antibiotics, under the administration of qualified and experienced professional doctors with liver specialists.

Liver Transplant in Delhi

In case of the last stages of the chronic liver diseases, reputed and well-known Liver Transplant Surgeon in Delhi suggest transplantation of the liver as soon as possible, for ensuring normal functionality of liver.

Liver Transplant Hospital in Delhi under the administration of qualified doctors provides effective transplantation of liver with minimum organ rejection and high success rate.

Treatment of the Liver or Hepatic Disease

Liver Transplant Surgeon

Medications and surgical procedures used in the treatment of the chronic and acute liver diseases are discussed in this blog. Acute and chronic liver diseases can be treated through medication and surgical procedures.

For the purpose of effective treatment of the liver diseases such as hepatitis C, the use of anti viral medication is prescribed by doctors. Other liver diseases can be managed and treated by using medication that slows down the liver disease progression. For the purpose of treatment of autoimmune hepatitis, the use of steroid based drugs is prescribed by doctors in Delhi.

Hemochromatosis is another liver disease within the iron overloads conditions, can be treated by removal of a quantity of blood from the vein. The method of treatment of Hemochromatosis is known as venesection. Drugs, which bind to the copper and allowing it to pass from the body of the patients through urine, can be used to treat Wilsons’ disease, which is condition where excess copper built up in the body.

Cholestatic liver disease can be treated by using ursodeoxycholic acid, under the supervision of qualified and experienced doctors. Hepatic transplantation is used for the purpose of replacement of diseased liver with healthy liver through the liver transplantation surgical procedures in India.

Liver diseases that cannot be treated through medications and requires immediate liver transplant for ensuring normal functioning of the liver, are known as chronic liver diseases. Corticosteroids and interferon that are combined with antiviral drugs and bile acids can be used for the purpose of effective treatment of different chronic liver diseases and complications.

Supportive therapy can be used for the purpose of treatment of chronic liver diseases. In last stages of chronic liver diseases, the only treatment is through quick and effective liver transplantation.

Liver Transplant Surgeon

Typically three Liver Transplant Surgeon and two anesthesiologists are involved in carrying out the liver transplantation procedures for treatment of chronic liver complications.

By using modern machinery and most recent technology, the surgeons ensure high effectiveness. In addition to this, four supporting nurses are required for the purpose of providing Liver Transplant in Delhi in the most effective manner.

Liver Transplant in Delhi

Typically the surgical procedures require 4 to 18 hours depending on the outcome of the surgical procedures. In addition to this, chronic liver diseases can be treated through different herbal remedies. The evidence of the herbal remedies for the purpose of treatment of chronic liver diseases is not conclusive.

Hepatitis its symptoms and treatment

Liver Transplant Surgeon

Hepatitis liver disease is of two kinds, acute and chronic hepatitis. Former is inflammation of the liver and destroys liver cells. It is quiet common. The later happens when a patient is not able to cure the acute hepatitis and liver continuous to get inflammation and cell damage. If the symptoms of the hepatitis last longer than six months, then it is treated as chronic hepatitis. The chronic hepatitis can lasts for years.

Symptoms of acute hepatitis — This type of hepatitis can start with flu like symptoms, which is the most common type of symptoms. Individuals may also get jaundice , vomiting , nausea , fever , loss of appetite , joint pain , tenderness in upper part of the stomach , itching , sore muscles and hives on skin . All these symptoms may resemble any other medical condition that is why; the doctor or specialist must be immediately consulted.

In case of chronic hepatitis, the symptoms can be mild, while the damage and inflammation of liver may continue. The progression of the symptoms may be slow.  Some individuals can show some symptoms like loss of appetite, fatigue, low fever, pain in upper part of the abdomen or jaundice etc. The symptoms linked Liver Transplant Hospital in Delhi with chronic hepatitis like enlarged spleen, fluid retention can also appear. These symptoms also resemble other medical problem. The patient has to consult the doctor before start of any treatment.

Liver Transplant in Delhi

Treatments–

Treatments depend on causes of the disease, family history, severity and general health of the patient. The patients who do not recover without treatment need hospitalization. In case of chronic hepatitis, the treatment has to be done to stop the damage to the liver and mitigate the symptoms. There are many treatments methods, which depend on the cause of the hepatitis. If hepatitis is caused by B or C hepatitis, then antiviral drug is given through injection to stop the damage to the liver. Also different oral drugs are used for hepatitis B and hepatitis C. Corticosteroids are used in case of chronic liver problem causes by an autoimmune disorder.

Discontinuous of certain drugs, which have caused the liver disease, also leads to an improvement in the liver condition. Avoiding alcohol is also suggested in chronic liver disease, caused by alcohol.  The liver transplantation Liver Transplant is done only when the liver has been totally damaged and has formed a scar tissue, or cirrhosis.

Causes and Treatments of Acute Hepatic Insufficiency and Chronic Hepatic Insufficiency

Inability of the liver to perform its functions both metabolic and synthetic is known as hepatic insufficiency. The hepatic insufficiency can be classified into acute hepatic insufficiency and chronic hepatic insufficiency. Two types of hepatic insufficiency are discussed in this blog.

Acute Hepatic Insufficiency

Loss of function of 80–90% of liver cells is associated with acute hepatic insufficiency. Physical exam, laboratory findings and patient history are used for the purpose of effective diagnosis of acute liver failure.

One of the common causes of the acute hepatic insufficiency is acetaminophen overdose. Other causes of the acute hepatic insufficiency are idiosyncratic reaction to medication. Furthermore, the acute hepatic insufficiency can be caused due to excessive alcohol consumption.  Viral hepatitis, such as hepatitis A or B, can cause acute hepatic insufficiency.

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As per the recent studies, it was reported that the acute hepatic insufficiency can be caused by acute fatty liver of pregnancy. Furthermore, the acute hepatic insufficiency can be caused by idiopathic. Furthermore, Wilson’s disease can also cause acute hepatic insufficiency.

Patients suffering from the acute hepatic insufficiency are managed in the intense care unit as they often involve in the rapid deterioration of mental status. As acute hepatic insufficiency is associated with possibility of rapid progression, hence it is always critical for make early consultation with excellent transportation facility.

Low systemic vascular resistance and increased cardiac output are associated with acute hepatic insufficiency. Catheterization of pulmonary artery of should be done in cases of cardiovascular complications. Acute Hepatic insufficiencies are associated with pulmonary edema and pulmonary infections.

As per the recent study conducted, it was reported that the instant survival rate of the patient suffering from the acute hepatic insufficiency is now around 40% at some of the well-known and reputed hospitals in Delhi.

Acute hepatic insufficiency patients with grade I-II encephalopathy should be transferred to transplantation facilities and lists them for Liver Transplant in Delhi.

Chronic Hepatic Insufficiency

Progressive destruction and regeneration of the liver parenchyma is known as chronic liver disease, which results in cirrhosis and fibrosis.

Hepatitis B and Hepatitis C are considered to important factors causing chronic hepatic insufficiency. Moreover, Alcoholic liver disease can cause chronic hepatic insufficiency.

Non-alcoholic fatty liver disease and Haemochromatosis can also cause the chronic hepatic insufficiency. Right heart failure and autoimmune diseases can also cause chronic hepatic insufficiency.

Based on the cause of the chronic hepatic insufficiency, the treatment can be carried out through corticosteroids and interferon. Other medications used for the treatment of chronic hepatic insufficiency are antiviral and bile acids.

Apart from medication, the patients might require liver transplantation in cases of last stage of chronic hepatic insufficiency.

Liver Transplant Hospital in Delhi often indicates patients suffering from the acute hepatic insufficiency with liver transplantation with success rate of 56–90%. Better survival rates were attained through with better critical care and trend towards more benign causes, in addition to the liver transplantation procedures.