World Hepatitis Day 2018: Eliminate Hepatitis

The campaign this year focuses on Test. Treat. Hepatitis. The WHO events and activities aim to achieve the following objectives globally, in regions and in countries.

Hepatitis refers to an inflammatory condition of the liver. It’s commonly caused by a viral infection, but there are other possible causes of hepatitis. These include autoimmune hepatitis and hepatitis that occurs as a secondary result of medications, drugs, toxins, and alcohol. Autoimmune hepatitis is a disease that occurs when your body makes antibodies against your liver tissue. Viral infections of the liver that are classified as hepatitis include 5 hepatitis viruses namely A, B, C, D, and E.

Symptoms of hepatitis include Tiredness or weakness, Jaundice (yellowing of the eyes and skin), Fever, Nausea and vomiting, Dark urine or very pale coloured stools, Pain under the ribs on the right side.

10 things to know about viral hepatitis: ( http://www.who.int/who-campaigns/world-hepatitis-day/2018:refernece )

  1. Viral hepatitis B and C are major health challenges
  2. Viral hepatitis B and C are root causes of liver cancer
  3. Timely testing and treatment of viral hepatitis B and C can save lives
  4. Viral hepatitis causes debilitating diseases and also places a huge economic burden on families
  5. Viral hepatitis has become a major killer due to a lack of global attention
  6. Over the past 15 years, more and more people have been dying of viral hepatitis
  7. At the same time, people are becoming newly infected with hepatitis
  8. Hepatitis attacks the most vulnerable
  9. Hepatitis can be prevented, diagnosed, treated and even cured
  10. You can help eliminate hepatitis

 If you are having any signs and symptoms please visit is at Wockhardt Hospital.

Case 1 : Transplant services at Wockhardt give a chance to a new life for patient suffering from hepatitis and liver damage:

Wockhardt hospital, in Mumbai central performed a successful complex transplant surgery of both a liver and kidney in a patient. The patient was suffering from hepatitis B. His condition worsened and he had damage to both his kidney and liver. The patient was suggested dialysis but due to his progressive state worsening, the team of doctors at Wockhardt hospital including a nephrologist Dr M. M Bahadur Consultant Nephrologist and transplant team of doctors suggested that he go in for a transplant.

This transplant surgery would be the First in Western India to perform living donor simultaneous liver and kidney transplant by a Mumbai based team.

The patient’s relative decided to donate their organs. The patient’s nephew donated 60% of his liver and patient’s brother donated his kidney. This was such a selfless gesture and showed the family unity.

The transplant team of Dr Anurag Shirmal and Dr Gaurav Gupta both transplant surgeons lead by a team of 15 doctors successfully carried out the operation.  Nurses, physiotherapists and nutritionist ensured speedy and uneventful recovery of all 3 (RECEPIENT AND TWO DONORS).The surgery was regarded as extremely complicated and post-operative care of the patient and donors were vital for the success of the transplant.

The surgery involved 3 surgeries which lasted 20hours with minimal blood loss. The transplant surgeries including the donor and recipients were carried out with great precision. The transplanted liver and surgery started working efficiently as the blood supply was re-established. The patient was on ventilator for 4 hours after surgery and was shifted to the ICU in just two days. The patient and the donors recovered well and were discharged after the transplant, 5days later.

Less than 5% of all patients where the liver has failed due to hepatitis need both kidney and liver transplant. The transplant procedure increases the quality of life (freedom from dialysis) but increases the quantity of life more than 30%.

Case 2:Mother donates part of her liver for a transplant to give a second childhood to her son……

Wockhardt Hospital Mumbai Central created history by performing a successful Living Donor Liver transplant surgery for a 9 months old Baby boy Kavya Vivek Raut, weighing a 5.6kg from Palghar District. He is the youngest baby who had undergone a successful liver transplant surgery in the entire Western India.

 The team of doctors that headed this land mark comprised  to Dr Anurag Shrimal - Consultant - Abdominal Organ Transplantation & HPB Surgery, Dr Gaurav Gupta - Consultant Abdominal Organ Transplantation and HPB surgeon, Dr Lalit Verma - Consultant Paediatric Hepatologist, Dr Anjali Patki - Consultant Liver Transplant Anaesthetist, Dr Saurabh Kamath - Liver Transplant Anaesthetist and Dr Prasanna Salvi - Consultant Pediatric Cardiac Anaesthetist and Intensivist.

The couple, Nisha and Vivek, share their thoughts and are grateful to Wockhardt Hospital for giving a second chance to their son proving once again that Life wins at Wockhardt Hospital.

“Our nine month was born with a disease known as Biliary Artesia where there is absence of bile ducts that carry bile from liver to intestine. He was not gaining weight and condition was deteriorating.  At the age of 2 months he underwent major surgery but it was not successful and he ended up with permanent irreversible damage of liver – Cirrhosis of Liver. Our son stopped growing; his weight was stagnant at 5-6 kg, developed deep jaundice and fluid in his belly.  He developed multiple infections that needed hospitalization in ICU.  We our daily wagers and could not afford these expenses to help our son and by the time we reached Wockhardt, we had exhausted our financial resources and lost all hope. “

The hospital team of transplant doctors headed by Dr Anurag Shrimla, Consultant Abdominal organ transplant and Dr Gaurav Gupta, hepatobiliary surgeon realised that liver transplant surgery was going to save the life of the patient but would be a very challenging case for Wockhardt team of doctors, due to the recipient being of such a young age. Even the smallest mistakes could be disastrous causing the recipient with severe damage to vital organs. The aim of the surgery was to ensure that the once the donor (mother) portion of liver was placed it would work optimally. Kavya underwent Living Donor Liver Transplant surgery with a part of liver being donated by his mother on 14th June 2018.The baby mother donates approximately 260 gm of her liver and it was further harvested and reduced by special techniques.

 The surgery was almost 12-14 hours and was successful.  The blood vessels were connected and the liver turned pink and started working immediately .Out of a humanitarian gesture all expenses were borne by the hospital.

Baby Kavya was discharged  in a stable condition all set to start  a brand new childhood that was gifted to him my his mother at Wockhardt Hospital, Mumbai Central .

“We are ever so grateful to the excellent team of Wockhardt team of doctors, management and staff who were involved in this miracle for us. Their courage, care and compassion towards our case was over whelming. The hospital has a very advanced set for transplant services and is one of a kind in India. We hope that many children who suffer from such serious conditions are able to get a second chance like our son” reflected baby Kavya’s parents after the surgery.

 

Liver Transplant Services at Wockhardt Hospital.

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.

With our philosophy of patient care this landmark surgery is a first of its kind. The coordinated team effort of multiple disciplines, like transplant surgery, hepatology, nephrology, anaesthesiology, critical care, radiology, transplant nursing just to name a few delivered exemplary outcomes. The case symbolises the technical excellence available at Wockhardt hospital, Mumbai central to carry out such complex surgeries with perfection. Also it shows the new age technology and infrastructure available at Wockhardt Hospitals to be one of the few in the country to carry out such a complicated procedure.

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