Transplant Surgery is a relatively newer field in medicine field. It involves replacing an old and failed organ with a new organ. The surgery in which a diseased liver in a sick patient is replaced by a healthy liver obtained from a live donor or a dead donor is called Liver Transplant. The new healthy liver performs function to maintain the patient’s life and other necessary vital chemical equilibrium in his body. The healthy person from whom the liver is obtained is surgically is called Donor. The patient in whom the liver is transplanted is called as Recipient.
Liver diseases have been on the rise in India. As per the WHO data published in 2011, the disease figured among the top 20 causes of death in the country, taking the 9th spot.
Liver disease form 20% of the ailments and large percentage constitute Liver Cancer; approximately 2000 patients die of Liver Cancer annually.
Current Scenario of Liver Transplant in India
Liver Transplantation is a surgery in which a diseased liver in a patient is replaced by a healthy liver obtained from a live donor or a brain dead donor. Liver transplant may be the only treatment option where the vital functioning capacity of the liver ceases. Liver transplant replaces the diseased liver with a healthy liver from a deceased donor or with part of a liver from a living donor. The current scenario in India is about 25,000 Liver Transplantations are needed in India annually, but approximately only 1200 to 1400 patients are able to get the benefit of this surgery. Each year, thousands of liver patients die as they wait for a donor or the transplant itself. Despite all of this, there is an upside trend. Since the last 9 years with accelerated growth in liver transplants over last 3 years. Cost of liver transplant varies. At some centres would it can range of 5-7 lakhs and even more. At some of the private centres is in the range of 18 to 20 lakhs.
Liver Cirrhosis is a liver disease where the normal healthy tissue is replaced by scar tissue. Due to this the liver is not able to perform its regular functions. The disease is a slow progressing and blood flow is blocked in the liver, hampering the production of vital substance, from the liver affecting the overall health status of an individual.
Some causes of liver cirrhosis are:
Alcohol abuse, CHRONIC LIVER infection like hepatitis B & C, Fatty liver associated with obesity and diabetes are the most common causes of cirrhosis of the liver.
Liver Cirrhosis is the most common reason for a liver transplant and at Wockhardt Hospital we can provide this option having the infrastructure, clinical expertise and a transplant coordination team to assist in various organ donation protocols (liver donor or cadaver donor). All potential candidates for liver transplant undergo extensive testing to determine whether they are healthy enough to have a successful outcome following liver surgery.
Who is eligible (patient) for Liver Transplantation?
- Diseased donor Liver Transplantation (DDLT):
In this type of donation a person who suffers severe brain injury leading to brain death is selected. Family of deceased person are counselled and they agree to donate the organs as a gift of life on purely altruistic and voluntarily. Liver from such cadavers can be used for transplantation. Patients should be listed on the waiting list and organs are allocated as per Maharashtra Government rules by ZTCC ( Zonal Transplant Co-ordination Centre)which is not for profit Government organization of Liver Transplantation
- Live Donor Liver Transplantation (LDLT)
In Living Donor Part of the liver is taken from a healthy, relatively young person (18-55 yr) generally first degree blood relative, who is willing to donate to save life of his or her dear one.9 relationship have been defined as first degree by Government law are spouse,parents,grandparents,brother,sister,children,grandchildren. If no suitable donor is available from first degree relations, second degree or distant relatives can be considered. Approval from appropriate authority and state committee are required for living donor liver transplantation. Only after thorough check-up which also includes Psychologist and psychiatrist counselling, person is accepted as donor candidateAdvantages of Living Liver Donation:
Living liver organ donation provides those waiting for liver transplantation with many advantages over deceased organ donation.
Wockhardt Hospitals, a chain of tertiary care super-specialty hospitals has more than 25 years of experience in the creation and management of Super Specialty Hospitals in India.
We are a premiere hospital in the country specializing in the liver transplant program. Wockhardt Hospitals, Mumbai Central, our Liver Specialists have the experience and expertise to accurately diagnose and offer world-class treatments for all forms of liver disease, including viral hepatitis, fatty liver, alcoholic liver disease, autoimmune liver diseases, genetic liver diseases and liver cancer.
We are well equipped to perform liver transplant and it is an essential component of a broad medical and surgical strategy to manage all patients with liver disease with the therapy most appropriate to that patient. The Liver Transplant departments at Wockhardt Hospitals, is fully equipped with modern and State-of-The-Art technology, intensive care unit services and modular and integrated operation theatre that match international health and safety norms. We have a dedicated team assured only by a multidisciplinary approach and quality of care ,which distinguishes us from others. We take proud in taking care of our patients holistically , our team includes Liver transplant Surgeons, Physicians, intensivist, Nutritionist, Physiotherapist. A good outcome can be ensured only by optimizing the condition of the patient
For further information or any gastroenterology services or liver transplant related query visit our experts at Wockhardt Hospital.
Wockhardt Hospitals is regarded as a centre of excellence the healthcare domain, having facilities in North Mumbai (Mira road), South Mumbai (Mumbai Central), Navi Mumbai (Vashi), Nagpur, Nasik, Rajkot and Surat. Wockhardt Hospitals has state-of-the-art infrastructure. Our prime objective is patient safety and quality of care at all levels. The guiding philosophy is to serve and enrich the Quality of Life of patients and to make life win.