Liver Transplantation and Hepatobiliary Surgery

Best Liver Transplant Hospital in Raipur | Ramkrishna CARE Hospitals

Institute of Digestive Diseases and Liver Transplantation is a unique group of experienced surgeons whose repertoire includes Liver transplant and complex hepatobiliary, pancreatic (HPB) and gastrointestinal (GI) surgeries all under one roof.
Ramkrishna CARE Hospitals, Raipur offers a comprehensive multi-disciplinary approach to the treatment of liver diseases. Our highly skilled specialists are committed to providing exceptional care and personalized treatment plans to ensure the best possible outcomes for our patients.

Why choose Ramkrishna CARE Hospitals, Raipur?

• The liver transplant team at Ramkrishna Care Hospitals consists of skilled surgeons, hepatologists, anesthetists, and support staff who have extensive experience in performing complex liver transplant surgeries.
• State-of-the-Art Facilities: The hospital is equipped with the latest medical technology and infrastructure to ensure the highest standards of care before, during, and after the transplant.
• Comprehensive and specialised care: From initial consultation to post-surgery follow-up, patients receive individualized care tailored to their specific medical needs.
• The hospital boasts high success rates for liver transplant surgeries, reflecting their expertise and the quality of care provided.
• The hospital employs a multidisciplinary approach to patient care, involving nutritionists, physiotherapists, and psychologists to support patients' overall well-being.

Milestones: 
•    30 successful liver transplants with ZERO mortality - till date
•    1st ever cadaveric organ donation in the state of Chhattisgarh - 2023
•    1st successful deceased donor liver transplant in central India in the state of Chhattisgarh - 2022
•    1st successful paediatric liver transplant on a 6-month-old- baby in the state of Chhattisgarh – 2021

Who Needs a Liver Transplant?

A liver transplant may be necessary for individuals with severe liver disease or liver failure. Specific conditions that often require a liver transplant include:

• Chronic liver failure
• Hepatitis B & C
• End-stage cirrhosis/ liver disease
• Alcoholic liver disease
• Fatty liver
• Primary Biliary cirrhosis / Autoimmune liver disease
• Primary liver cancer
• Acute liver failure

Types of Liver Transplant

Living Donor Liver Transplant

In a living donor liver transplant, a portion of the liver is removed from the donor. Because the liver has the ability to regenerate, both the transplanted section in the recipient and the remaining section in the donor can grow back to their normal size.

Deceased/ Orthotopic Liver Transplant

It involves transplanting a liver obtained from a person who died recently.

Split Transplant

In this procedure, a liver obtained from a deceased donor is divided into two pieces and transplanted into two different recipients. Both transplanted sections of liver can regenerate to reach a normal size in their respective recipients.

Liver Transplant Procedure

Pre-transplant evaluation 

During the pre-transplant evaluation, you might undergo the following assessment tests to determine the condition of your liver:

• Physical examination
• Imaging tests
• Blood tests, including compatibility tests

You may also undergo tests to determine your heart and lung status. Nutrition and psychological evaluation can also be done as part of pre-transplant evaluation.

Approval

The transplant has to be obtained as per THE TRANSPLANTATION OF HUMAN ORGANS ACT 1994 & THE Transplantation of Human Organs Rules, 1995 and all amendments formed therein.

Liver Transplant Procedure

The liver transplant procedure may take up to 8 to 12 hours or more. During the procedure:

• The patient will be given general anesthesia to numb the pain.
• An incision is made in your abdomen to access the diseased liver.
• The blood vessels are cut off to stop the blood supply
• The diseased liver is removed and replaced with the healthy donor liver.
• The blood vessels and bile ducts are reattached to the replaced donor liver.
• The incision is closed with clips or stitches.

Post-Transplant Care

You will be kept in the intensive care unit (ICU) for 4 to 5 days’ post-transplant. The recovery process is similar for all patients. However, the duration for recovery may differ for each person depending on how their body responds to the transplant, their health condition, and complications occurred, if any post-transplant.

Recipients usually stay in the hospital for 7 to 10 days and donors stay for 5 to 7 days.

To improve the outcomes, a person who underwent liver transplant should take the following precautions:

• Undergo regular medical checkups as per doctor’s recommendation.
• Be compliant and take medications as prescribed by the doctor.
• Be aware of the symptoms of infection or organ rejection and inform the doctor immediately or seek medical help.
• Follow safety precautions to avoid contagious illnesses such as common cold or flu
• Follow a diet-plan as recommended by the doctor/nutritionist.
• Be physically active.
• Avoid alcohol and tobacco use.
• Life after Liver Transplant
• Regaining of health and full energy
• Can enjoy normal food
• Can travel without fear
• Normal life expectancy
• Normal family life
• No drinking alcohol
• Regular medications

The liver transplant team at CIDDLT led by Dr Mohammed Abdun Nayeem has a cumulative experience of 2000+ liver transplants, one of the largest experiences of its kind in India, demonstrating internationally comparable clinical outcomes. Our novel surgical techniques have enabled fast tracking of patient post-operative recovery, shortening hospital stays.

A seamless patient pathway from pre-operative management, through surgery and postoperative care with our excellent outcomes makes us a favoured one stop centre for adult and paediatric liver transplants (living & deceased donor), and all complex HPB and GI surgeries.