A guide to Liver transplant - Surgery Procedure, Complication, Risk, Recovery Time and Cost Comparison

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A guide to Liver transplant - Surgery Procedure, Complication, Risk, Recovery Time and Cost Comparison

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Liver transplant is usually kept as an option for people who have significant complications due to end stage chronic liver disease. In rare cases, sudden failure of a previously normal liver may occur. Complete guide to liver transplantation surgery cost comparison India vs Other Countries, best surgeons for liver transplant in india and best hospitals for liver transplant in india – PowerPoint PPT presentation

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Title: A guide to Liver transplant - Surgery Procedure, Complication, Risk, Recovery Time and Cost Comparison


1
Surgery Procedure, Complication, Risk, Recovery
Time and Cost Comparison
  • GUIDE TO LIVER TRANSPLANT

2
About liver transplant
  • A liver transplant is a medical procedure that
    replaces a patient's diseased liver with a whole
    or partial healthy liver from another person.
    This article explains the current indications for
    liver transplantation, types of donor livers, the
    operation itself, and the immunosuppression that
    is required after liver transplantation.
  • Liver transplant is usually kept as an option for
    people who have significant complications due to
    end stage chronic liver disease. In rare cases,
    sudden failure of a previously normal liver may
    occur.

3
When Is a Liver Transplant Needed?
  • A liver transplant is considered when the liver
    no longer functions adequately (liver failure).
    The following conditions may result in chronic
    liver failure
  • Chronic hepatitis with cirrhosis.
  • Primary biliary cholangitis (it is a rare
    condition where the immune system inappropriately
    attacks and destroys the bile ducts)
  • Sclerosing cholangitis (scarring and narrowing of
    the bile ducts inside and outside of the liver,
    causing the backup of bile in the liver)
  • Biliary atresia (a rare disease of the liver that
    affects newborns)
  • Alcoholism
  • Wilson's disease (a rare inherited disease with
    abnormal levels of copper throughout the body,
    including the liver)
  • Hemochromatosis (a common inherited disease where
    the body has too much iron)
  • Alpha-1 antitrypsin deficiency (an abnormal
    buildup of alpha-1 antitrypsin protein in the
    liver, resulting in cirrhosis)

4
Causes of Chronic Liver Injury
  • Hepatitis B
  • Hepatitis B infection accounts for 5 of all
    liver transplants performed in the United States
    but accounts for a larger proportion of liver
    transplants in other parts of the world,
    especially Asia and Australia / New Zealand.
  • Hepatitis C
  • Hepatitis C is the most common indication for
    liver transplantation in the United States,
    affecting nearly 50 of all liver transplant
    recipients.
  • Alcoholic Liver Disease
  • Liver failure due to alcohol abuse is the second
    most common indication for liver transplantation.
    Most centers require at least a six-month period
    of abstinence, often within a recognized
    substance abuse program such as Alcoholics
    Anonymous, as a condition of listing for liver
    transplantation.

5
Causes of Chronic Liver Injury
  • Metabolic Liver Disease
  • Non-alcoholic steatohepatitis (NASH) Deposition
    of fat within liver cells may result in
    inflammation that injures and scars the liver.
    Risk factors for the development of fatty liver
    and NASH include obesity and metabolic conditions
    such as diabetes and hyperlipidemia (increased
    cholesterol). The percentage of patients being
    transplanted for this condition has increased 35
    fold from 2000 to 2005.
  • Genetic Liver Disease
  • Hemachromatosis excess iron deposition in the
    liver
  • Wilson's disease abnormal copper metabolism
  • Alpha-1 anti-trypsin deficiency lack of a gene
    product that limits the activity of trypsin, an
    enzyme that digests protein. Over time this leads
    to progressive destruction of the liver and lung.

6
Where does a Liver for a Transplant Come From?
  • Living donor
  • Living donor liver transplants are an alternative
    for some patients with end-stage liver disease.
    This involves removing a segment of liver from a
    healthy living donor and implanting it into a
    recipient. Both the donor and recipient liver
    segments will grow to normal size in a few weeks.
  • Deceased Donor
  • In deceased donor liver transplants, the donor
    may be a victim of an accident or head injury.
    The donor's heart is still beating, but the brain
    has stopped functioning. Such a person is
    considered legally dead, because his or her brain
    has permanently and irreversibly stopped working.
    At this point, the donor is usually in an
    intensive-care unit and life support is withdrawn
    in the operating room during the transplant.

7
Which hospitals are best for Liver Transplant in
India?
  • Some of the best hospitals in India for liver
    transplant are
  • Medanta- The Medicity, Gurgaon
  • Fortis Escorts, New Delhi
  • Apollo Hospital, Bangalore
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • Jaypee Hospital, Noida
  • BLK Hospital, Delhi
  • Global Hospital, Delhi
  • Artemis Health and Research Institute, Gurgaon
  • Dr. L. H. Hiranandani Hospital, Mumbai
  • Breach Candy Hospital, Mumbai
  • Lilavati Hospital, Mumbai

8
Which hospitals are best for Liver Transplant in
India?
  • Sir Ganga Ram Hospital, Delhi
  • KEM Hospital, Maharashtra
  • Sri Ramachandra Medical Center, Chennai
  • Aster MIMS, Calicut
  • Continental Hospitals, Hyderabad
  • Apollo Chennai, Chennai
  • Yashoda Hospitals, Malakpet, Hyderabad
  • Jaslok Hospital, Mumbai
  • KIMS Hyderabad
  • Institute for Liver and Biliary Sciences, Delhi
  • Amrita Institute of Medical Sciences, Kochi
  • MIOT International Hospital, Chennai
  • Christian Medial College and Hospital, Vellore

9
Cost of Liver Transplant Surgery in India
  • 1. Government Hospitals
  • The cost of liver transplant surgery in India
    lies between 5 Lakhs - 10 Lakhs INR (i.e. USD
    7500 - USD 16000).
  • 2. Private Hospitals
  • In these hospitals the cost of liver transplant
    surgery in India lies between 18 Lakhs - 24 Lakhs
    INR (i.e. USD 28000 - USD 40000).

10
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