Process of liver transplant and types of liver transplants

images (49)

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.

h9991470_005

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 –

unnamed

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.

h9991470_005

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.

h9991470_005

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.

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.

liver-transplant

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.

Cause of Liver Failure and its Symptoms

Liver failure means that large part of the liver is not able to function normally and it has got damaged beyond repair. The liver failure can be life threatening disease. It never happens all of sudden but can happen gradually over the years. However, the acute liver failure can occur within a day or two and cannot be detected initially. There are many reasons for the failure of the liver. Some of these are due to the diseases like hepatitis B and C , consumption of alcohol for long duration , cirrhosis and some inherited disease where a person absorb too much iron. Malnutrition can also lead to liver failure.

The acute liver failure which can happen in couple of day , has different reasons and these may include overdose of some medicines like Tylenol , hepatitis B  C  or   A virus  specially in kids can causes the acute liver failure . The consumption of wild poisonous mushrooms and reaction to certain medication can also lead to acute liver failure.

Symptoms of the liver failure can also occur in other medical problem that is why; it is difficult to properly detect the liver failure accurately. The conditions like fatigue, nausea, diarrhea and loss of appetite can also happen with other medical common problems.  But as liver failure progresses, the symptoms may become more clear. These are jaundice, swallow abdomen, difficulty in sleeping, bleeding easily and mental confusion. Finally it can lead to coma.

Early detection plays an important role in the treatment of the liver failure. If detected early and caused by overdose of some medicines, then failure can be treated and reversed. In case of liver failure caused by virus, the virus symptoms are treated at hospitals. When virus is cured or treated the liver recovers on its own.   In the liver failure that is result of the long deterioration of liver, the efforts are made to save the remaining part of the liver that is functioning and normal.  When that is not possible, then the final step is the liver transplantations. Liver transplantation has Liver Transplant Surgeon     high rate of success these days.

The only way to prevent the liver failure is to decrease the risk of developing liver diseases and infection. The efforts should be to limit the risk of cirrhosis and hepatitis virus.   Some steps can be taken to prevent the risk of hepatitis like taking the injections, taking proper balanced diet, limit the use of alcohol, maintaining hygiene by washing hands before eating and after using bathroom or toilet.

Anyone who takes Tylenol Liver Transplant Hospital in Delhi   medicine must not take the alcohol.  There are other common practices, which should be followed by person normally for keeping diseases away. These are not sharing the used razors and toothbrushes. The proper care, in form of condom, must also be taken before establishing physical relations with a stranger. The person going for tattoos must ask for use of sterilized needles or equipments.

Hepatitis diseases, Symptoms and Treatments

Inflammation of the liver is known as hepatitis. It is caused by viral infection but use of drugs, alcohol and other toxins substances can cause hepatitis .When body makes antibiotic against the liver then autoimmune hepatitis occurs.

There are two kinds of hepatitis acute hepatitis and chronic hepatitis. Acute hepatitis is also known new hepatitis. While chronic hepatitis shows that the hepatitis has been present for more than 5 or 6 months. Again the hepatitis can of A B C D and E type.

Liver Transplant Surgeon

Hepatitis A occurs with contaminated water or food and can also be contacted from infected person. The hepatitis B can occur when a person gets comes into contact infectious body saliva, blood, semen or wound. The use of drug injection of infected person, sex with infected person and use of razor can cause hepatitis B.Hepatitis C is also transmitted through infection from infected person and it comes from hepatitis C virus. Hepatitis D is a serious liver disease caused by the hepatitis D virus .Again the causes is infection from infected person through wounds or infected blood .it occurs in conjunction with hepatitis B infection. The hepatitis E is caused by hepatitis E virus and is happens in poor sanitation areas and is caused by contamination in water and food.

Acute hepatitis causes damage to liver cells .It may be caused by viral infection, overdose of drugs, such as Paracetamol and Acetaminophen, the inhaling of some dry cleaning chemicals and eating wild mushrooms. Jaundice, vomiting, nausea, fever, loss of appetite, pain in joints and red hives on skin are the symptoms of the acute hepatitis.

Before the treatment the cause, severity of the acute attack and general health of the patient is taken into consideration. Patients who do not respond to the treatment of acute hepatitis develop chronic hepatitis. The symptoms of which are fatigue, loss of appetite, low fever, jaundice, enlarged spleen, fluid retention in the body and spider like blood vessels. Some persons may be showing no symptoms until the damage been done to their livers.

Antiviral drugs injections and oral antiviral drugs are given to the person with B or C inflammation.In hepatitis C; ribavirin is given to a patient. Stopping the use of certain drugs and alcohol is recommended to a patient to cure the symptoms. Corticosteroids are given in autoimmune disorder liver disease.

Liver transplant comes at the last stage of treatment. Liver Transplant Surgeon . The rate of liver transplant can be high if it is done in time. The person with dead brain or relative with matching blood group can give liver for transplantation. The other vital organs of the patient are tested before the liver transplantation. Specialists in liver transplant in Liver Transplant Hospital in Delhi can gauge the success of transplantation by knowing the status of the patient, severity and cause of the patient.

 

 

.

 

Dr. Naimish N. Mehta Performed Over 725 Liver Transplantation in Delhi

Different stages of liver damage can be effectively treated through effective liver transplant. Dr. Naimish N. Mehta is engaged in carrying out and supervising more than 725 liver transplantations in Delhi.

Life of thousands of people suffering from liver damage can be saved through liver transplantation conducted under the supervision of qualified liver transplant surgeons. Being one of the best HPB & Liver Transplant Surgeon at Sir Ganga Ram Hospital, Dr. Naimish N. Mehta has conducted and supervised over 725 liver transplantations.

liver-transplant.gif

He holds expertise in performing complex liver transplantation surgeries on the liver, pancreas and bile ducts. In order to effective cure very advanced stages of liver damage known as cirrhosis, the consultancy of Dr. Naimish N. Mehta can be attained and recommended. Donation of live liver can only obtained from family and close relative.

“By systematically executing over both cadaveric and living donor liver transplants, Dr. Naimish N. Mehta has attained a reliable position in this domain. For upgrading his liver transplantation skills, he has done fellowship in HPB and transplantation surgery from St. James University Hospital, Leeds, United Kingdom. In addition to this, he has also done Fellowship in HPB and Liver Transplantation Surgery from Queen Elizabeth University Hospital, Birmingham, United Kingdom”, the fellow doctor from  Sir Ganga Ram Hospital said talking about Dr. Naimish N. Mehta.

In addition to this, he has published many articles from different international and national journals about the liver transplantations. With more than fourteen years of experience in the field of Hepato- Pancreatico-Biliary (HPB) Surgery, Dr. Naimish N. Mehta, as the best Liver Transplant Surgeon in Delhi has conducted and supervised over 725 liver transplantation surgeries with high success rate of more than 80%.

One of the best liver transplant surgeons at Sir Ganga Ram Hospital, Dr. Naimish N. Mehta has supervised and conducted more than 725 liver transplantations to his credit. At Sir Ganga Ram Hospital, orthotopic liver transplantation, which is effectively performed by Dr. Naimish N. Mehta, is one of the most common transplantation procedures used for the purpose of replacing the nonfunctional or damaged liver. Counted as the best Liver Transplant Hospital in Delhi, Sir Ganga Ram Hospital have started Liver Transplant program for conducting and carrying out both cadaveric and living donor liver transplants. Gastrointestinal surgeries are effectively carried out by Dr. Naimish N. Mehta, by using his experience and surgical skills. In addition to this, major Hepato-Pancreato-biliary surgeries is performed and supervised by Dr. Naimish N. Mehta, as one of the best surgeons at Sir Ganga Ram Hospital.