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Liver Transplantation

Liver Transplantation and Procedure

Liver Transplant is a surgical procedure that replaces that diseased liver with a healthy liver. The liver is transplanted from a living or deceased done after many tests. The treatment is usually reserved for those who have significant problems due to the last stage of chronic liver disease. Liver failure may happen over a long period but occurs quickly within a week or less.

 Cure2heal will provide all the information of procedure, hospital, doctors and cost structure for Liver transplantation for people with serious liver conditions.

What are the reasons for Liver Transplant?

Liver transplant is an option for those with liver failure which can’t be controlled with other treatments, and also for those who have liver cancer. It can happen quickly or over a longer period. Acute liver failure is the failure which occurs quickly, in a matter of weeks which is due to medication-induced liver diseases. Although liver transplant is used to treat chronic liver failure which occurs slowly over months and years.

The most common cause of chronic liver failure is a scarring of cirrhosis, a disease in which scar tissue replaces normal liver tissues to impair liver functioning.

Some major causes of liver failure :

a.) Hepatitis B and C

b.) Liver cancer

c.) Liver adenoma

d.) Bile duct cancer

e.) Chronic alcohol abuse

f.) Diabetes

g.) Obesity

What are the Risks Involved with Liver Transplantation?

The liver transplant surgery carries a risk of some significant complications. Some risks are associated with the treatment itself as well as the prescribed drugs necessary to prevent the reject of transplant. Risks can be Long-term or Short-term complications depending upon the health and procedure.

Risks associated with Liver Transplant include :

a.) Bleeding

b.) Blood clots

c.) Failure of a donated liver

d.) Infection

e.) Rejection of donated liver

f.) Mental confusion

Some risks due to anti-rejection medications are :

a.) Bone thinning

b.) Diarrhea

c.) High cholesterol

d.) Headaches

e.) High blood pressure

f.) Diabetes

These risks are only occurring due to side effects due to anti-rejection medications which happens only in a few patients who are allergic.

Liver Transplant Procedure:

Evaluation of the liver through images 

Before performing the actual transplantation surgery, many 3D images of the donor’s liver is analyzed along with the deceased one. The surgeon will determine the size of the donor’s liver, vessel anatomy and will define how much liver tissue is transplanted, calculation of how much liver tissue is needed to allow the recipient to survive. Around 30 per cent of the donor’s liver must remain in the donor.

The chances of using donor liver’s left lobe is considered first as this is always a safer operation for the donor. Left lateral segment which is the smaller portion of left lobe, is used in pediatric liver transplant.

Donor liver surgery

The procedure starts with an incision made in the abdomen to enter the abdominal cavity. The amount of left or right lobe which is removed from the donor is pre-determined, and the gallbladder is also removed. It will take about 4 to 6 hours to perform the surgery.

Recover procedure after surgery

The donor dismissed the operating room with a drain in his/her abdominal cavity, lines in the arm and neck to provide medications. Nasogastric tube is used to relieve pressure in the stomach with the removal of air and other contents. Urinary catheter is used to drain urine from the bladder. The done have to spend the night in the ICU, then he/she is transferred to the nursing floor after stabilization. He/she has to stay at the hospital for 1 week or more.

Replacement process

First, the skin over the surgical area will be cleaned with an antiseptic solution. The doctor will create an incision under the ribs on both sides of the belly. The cut will extend for a short distance over the breast bone.

Separation

The doctor will separate the diseased liver from the organs and structures in nearby areas. The arteritis and vein will be clamped to stop the blood flow into the diseased liver. Different surgical methods may be used to remove the diseased liver which depends on the specific case. The deceased one is removed after a cut off from the blood vessels.

Donor liver implantation

Your surgeon will check the test and check the donor liver before implanting in your body. The new liver will attach to your vessel and blood flow will start on your new liver. The doctor will check if any bleeding is there, where you have all those stitches.

The new liver will be connected to your bile ducts, a drain may be placed in the site of incision to reduce some swelling. After that, a sterile bandage will be used for dressing after clean-up.

How to prepare for the procedure?

a.) Your doctor will explain to you the procedure. You can ask him for any query you have with the procedure. 

b.) You have to sign a form that gives permission to the doctors for surgery. Read the form carefully and ask a question if anything is not clear. 

c.) To maintain a planned liver transplant, you should not eat for 9 hours before your surgery. If your new liver is from a donor who has died recently, then you should not eat or drink before you’re told that the liver is available.

d.) You should take care of proper medication before the surgery

What to do after the procedure?

a.) After the liver transplantation procedure, the staff will take you to the recovery room before being taken to the ICU. You will be watched closely with care in ICU for a few days. 

b.) The doctor will insert a tube in your throat so that you can breathe with the help of ventilator until you can breathe on your own. Blood samples will be taken to check your new liver. They will also inspect the kidney, lungs, and total circulatory system. 

c.) After the removal of breathing and stomaching tubes, you’ll start to drink liquids and will slowly begin to eat specific solid foods. 

d.) After a few days of your recovery, you will be moved to a private room. You will be able to move and walk around for much longer. 

e.) Once you leave the hospital, you should keep the surgical area clean and dry. You have to follow the bathing instructions given to you by your provider. 

f.) You should not drive until your consultant tells you to, and should avoid many activities.

Success rates after liver transplant

The chances for a successful liver transplant and a success rate depends on your particular situation. In general, the five-year success rate after liver transplantation is 75% and 1-year survival rate is 89%. Sometimes the liver can fail, or the previous disease may return. Although liver transplantation has high success and survival rates, chances of a patient to survive in this surgery depends on a mixture of many critical factors.

Liver Transplant Cost

Liver Transplant Cost in India

Liver Transplantation is one of the most famous surgical procedures in India according to international treatment standards benchmark for liver transplant. India has become a destination for many foreign patients for their liver treatment. In the last 20 years, the growth of Liver transplant facilities and services in India is exponentially increased. The Live donor liver transplant cost in India is also rapidly increasing with a great success rate.

When it is about treatment, especially liver transplant then its cost plays a big role. In India, most of the Liver Transplant cost is not too expensive. The cost varies on the health of the patient and type of liver transplantation. We should keep in mind that Liver Transplantation is not an instant solution; it will take time and effort, though it is one of the most successful transplants in India.

Why Liver transplantation in India?

The availability of advanced technologies, skilled doctors and availability of donor under one roof with no hassle are some reason foreign patients prefer to visit India for their Liver transplantation. Indian doctors are mostly trained and experienced with international level of qualifications and achievements. India has also started certain liver transplantation discounts or facilities to help the patients. India has the highest quality technology with all the latest equipment in the market which helps to acquire high accuracy, safety, and ethical treatments.

Success rate of Liver Transplant in India

In last 16 years, liver transplantation in India has changed from a rarity procedure to a very common procedure which is available almost everywhere across the country with a very good survival data comparable to some best medical countries in the world. It is now leading in Living donor liver transplant in the world with 95% success rate along with low incidence of biliary and vascular complications. Deceased Donor Liver Transplantation is also increasing with a great success rate in Southern part of India. Due to some complicated factors, it is almost impossible to predict the exact chances of having a successful liver transplant or how long the new liver will survive afterwards. However, cure2heal list average survival rates for people who had liver transplantation treatment in India:

  • 86% - Patients who are still alive after 1 year
  • 79% - Patients who are still alive after 3 years
  • 72% - Patients who are still alive after 5 years
  • 53% - Patients who are still alive after 20 years

Keep in mind that survival rate estimation depends upon the type of information used and how they were calculated.

The chances of surviving a liver transplant is difficult to find as it depends on many factors, but overall 85 – 90 percent of adults and children will do well enough to be discharged early from the hospital.

Liver transplantation cost comparison

The cost for liver transplantation in is typically a fraction of that same liver transplantation procedure as compared to US and many developed countries. The cost may vary depending upon the type of surgery and some other medical conditions of a patient.

Average Liver Transplant Procedure

UK

USA

India

Thailand

Singapore

Cost in USD

$1,00,000

$1,25,000

$33,000

$42,000

$50,000

*Note: The final price listed above is an average collected from some Top Liver Transplant Hospitals in India. The final price of the surgery offered to patients is based on their reports and current medical condition.

The above cost shows the difference in price of Liver transplant procedure between these countries. Due to which, the maximum number of patients for liver transplant comes India for their treatment. Affordable prices, food, tourism options, no language barrier is one of the main reasons for foreign patients for their procedure.

Liver Transplant cost in India –

The average cost of Liver transplantation in India is around 15000 to 22000 USD, which is roughly one-tenth of what it would cost you in western countries.

1.) The liver transplantation cost for a complicated case is around 20,000,00 to 40,000,00 INR.

2.) Liver transplant surgery for an adult will be around 12,000,00 to 16,000,00 INR.

3.) Pediatric Liver Transplantation will cost you around 10,000,00 to 12,000,00 INR.

Total cost of average liver transplant surgery in India

No. of Travelers

Days in Hospital

Days outside Hospital

Total days in Inda

35,000 USD

               2

             22

             40

                62

*Note: The final price listed above is an average collected from some Top Liver Transplant Hospitals in India. The final price of the surgery offered to the patients is based on their reports and current medical condition.

Some legal requirements in India

The organ transplantation in India is governed by the Government of India. Some rules for liver transplantation in India are strict and ignorance about the terms will be punishable.

a.) For non-relative kidney transplantation, government permission is necessary and is given only if it is clear that there is no commercial view of the donation.

b.) For foreign patients, the certification of the relationship between donor and the recipient by the government of the concerned country (authenticated by the Embassy) is necessary. Any kind of commercial factor between the donor and the recipient will be illegal and punishable.

Conclusion :

There are many of Liver transplant hospitals in India which can offer world-class facilities and services to foreign patients. It is necessary that one should handle himself to stay away from any stress.

Remember, even though the billing amount for transplantation varies from one state to another in India, you should never choose a hospital based on your cost only. Try to find a matching Liver transplant hospital, and specialist based on your problem.

Liver transplant in India

Liver transplant in India

Liver transplant is also called a hepatic transplant which can help your life when your liver is deceased and no longer works. This treatment involves surgical removal of your liver to replace it with the healthy liver of a donor. The new liver should be healthy for longevity as it is responsible for filtering and removing toxins from our body. It has become a life-altering procedure for patients suffering from chronic liver failure when there is no surgical treatment options. 

Liver transplants in India is currently in its golden period. The number of transplants being operated is growing over the last few years. The growth and multipronged approach in developing the infrastructure and disciplinary teams in the management of liver transplant patients has a major positive impact. Indian doctors can perform every complex procedure like Liver transplant with dexterity. Liver transplant is a major surgery in India and risk to life under this process is 5-10%. Every year around 50000 to 60000 patients require liver transplantation in India, and many foreigners used to come to India for their Liver transplant.

Why choose India for your Liver Transplant?

The advantage of getting a Liver transplant with India is the technology and world-class services they provide so that the patients can focus only on their surgery. The availability of specialists and hospitals are way too more than you can expect. Hospitals have 5-star services and world-class nursing staff. You can book your prior appointment with some Top Liver transplant hospitals and doctors.

Indian government will issue the Medical Visa easily with a long validation to stay until your total procedure.

Some other benefits of Liver Transplant in India :

a.) No waiting queue for treatment

b.) Availability of top liver transplant doctors

c.) Quality of care

d.) No language barriers

e.) Relaxed visa rules

f.) Low-cost generic medicines

Qualification of Top Liver transplant specialists in India –

a.) MBBS

b.) MS – General Surgery / Gastroenterology / MD – General Medicine

c.) FRCS – General Surgery / Upper GI

d.) Fellowship

Liver transplantation in India has many qualified specialists who have experiences of a worldwide system of medical science. These specialists will provide the best services to every patient.

Hospitals for Liver transplant in India

India works according to the International benchmarks by Global medical fraternity. These Hospitals will provide high-class medical services and facilities following all the protocols of quality and ambience.

Some Top Liver Transplant hospitals in India –

1.) Indraprastha Apollo Hospital, New Delhi

2.) Medanta – The Medicity, Gurugram

3.) BLK Super Specialty Hospital, New Delhi

4.) Artemis Hospital, Gurugram

5.) Max Super Specialty Hospital, New Delhi

6.) Primus Super Specialty Hospital, New Delhi

7.) Fortis Flt. Lt. RajanDhall Hospital

8.) Max Super Specialty Hospital, Gurgaon

9.) PuspawatiSinghania Research Institute, New Delhi

10.) Max Super Specialty Hospital, Saket, New Delhi

Proceed your Liver Transplantation with the best doctors in India –

We should always keep in mind to choose a Liver transplantation is not only based on cost, we should look for good transplantation specialists with a high reputation and qualification. The specialists should have proper specialization in gastroenterology, hepatology, and in general surgeries.

Some top liver transplant doctors in India :

1.) Dr. Mahesh Gopasetty

2.) Dr. Ravi Mohanka

3.) Dr. Avnish Seth

4.) Dr. RakeshRai

5.) Dr. VivekVij

6.) Dr. Ramdip Ray

7.) Dr. SanjivSaigal

8.) Dr. SonalAsthana

9.) Dr. Murgan N

Patients can consult with these Liver specialists through our website.

Procedure for Liver Transplantation treatment in India

Some patients are still unaware of the medical tourism procedure in India. You don't have to feel any doubt about the heading India for your Liver Transplantation. All you need is proper information about the procedure and charges of your treatment in India.

Some steps you should take before you Liver transplant in India:

Consult your local doctor

Before planning your trip, first, consult your local doctor and define all the details you should need to apply for your medical visa. A good doctor will guide you with full diagnosis for your Liver transplant in India.

Choose the Best Liver transplant or Clinic for your treatment in India –

Arrange all the details and specifications of the hospitals and doctors before you select them. Choose wisely, search their credentials, achievements, and experience. You can take all the details about hospitals and doctors through Cure2heal. Find the suitable one for your treatment taking care of cost, surgery, specialty, etc.

Prepare your Passport (If you don’t have one) and Medical Visa

Apply for your passport if you still don't have it. You have to fill application for your medical visa along with entry visa for your medical treatment in India. 

a.) Prepare a file of all your documents on your country’s requirement to apply for a Visa.

b.) You can also apply online and fill all the data you need for your Visa

Meet your personal Doctor before any procedure –

Before any treatment, first, meet your senior consultant or specialist to share your examination and information. Before any treatment, some tests will occur for your medical examination. There is a chance that your doctor might advise you about your health and chances and might suggest you for another treatment after check-up.

Take care of your reports –

Make a file of all your medical records, Operations, Medical receipts, etc. Make sure you keep your Visa and passport safe along with credit cards, debit cards and travellers’ check. Cure2heal will prove you all the safety measures, accommodation, and other facilities for your healthy stay in India.

Take proper Follow-up –

You have to take care of all the aftercare terms and rituals. The procedure is not over with your Liver Transplant surgery, prepare yourself for your home visit and concentrate on your health.