High-Quality Best Liver Transplant Cost In India
What is the Liver Transplant Cost in India?
“Many potential patients for surgery are a concern to know about Liver transplant Cost in India? The estimated cost of Liver transplant in India usually starts $22,000 however, it may go up to as much as $45,000. it depends on the hospital charges and the fee charged by the surgeon. Additional costs also include in the packages Like:- the diagnostics before the surgery and pre-operational consultations.
India has constantly been a top destination in offering the best healthcare treatment. Indian hospitals comprise of highly qualified doctors with lots of experience in treating patients from all over the world. It is vital for end-stage liver disease patients to undergo treatment under the help of a highly experienced surgeon. Getting a skilled surgeon for liver transplant in India is not that hard as the hospitals in the country pay exceptional attention to hiring surgeons who are qualified from some of the topmost health institutions in the world.
A liver transplant, is the treatment of choice in case a person’s liver fails to function permanently. The procedure involves surgical removal and replacement of the diseased liver with whole or part of a liver donated by another person whether alive or deceased.
Indications for liver transplant:
A person suffering from such a disease is unlikely to survive in case a transplant is not done in time. Liver transplant is generally recommended in cases of end-stage liver disease, cirrhosis or cancers of the liver. In fact, cirrhosis is one of the most common indication for liver transplants. Cirrhosis is a disease of the liver where healthy liver tissue gets replaced with scarred tissue.
When Is a Liver Transplant Needed?
Patients that have chronic liver disease, typically Hepatitis C infection commonly, or a previous history of alcohol use, and have developed cirrhosis of the liver are the most common patients that require liver transplant or Transplant is recommended when a person’s liver no longer functions adequately enough to keep them alive, typically have Acute or Chronic liver failure. Liver failure can happen suddenly (acute liver failure) as a result of viral hepatitis, drug-induced injury or infection. Liver failure can also be the end result of a long-term problem
Symptoms of Liver Transplant
There are no visible signs in the early stages of primary Liver cancer. Liver cancer treatment begins once a person has fallen sick critically owing to liver damage. The standard signs and symptoms of liver cancer may include the following-
Yellowing of the skin, eyes, and tongue commonly known as Jaundice it is one of the most common indications that implies Liver cancer.
- Abdominal pain
- Sudden loss of weight
- Swollen abdomen due to enlarging of liver
- Fatigue
- Nausea
- Vomiting sensation
- Having fever constantly is a usual sign that one shouldn’t ignore
These symptoms are known as nonspecific symptoms, as other chronic disorders may trigger similar effects. These symptoms remain inactive in the early stages and when they surface, the disease becomes virtually uncontrollable.
Which Tests Are Required Before Getting a Liver Transplant?
When the doctor suggests a liver transplant to any person then the doctors will ask for all the pervious medical records, X-rays, liver biopsy slides, operative reports if any and a record of medications to the pre-evaluation. To match and to update the previous tests.
- Blood tests to determine blood type, clotting ability, and biochemical status of blood, and to gauge liver function. Serology screening is also included.
- Doppler ultrasound: to determine if the blood vessels to and from they liver are open.
- CT scan: Computed tomography uses X-rays and a computer to generate pictures of the liver, showing its size and shape.
- Echocardiogram and stress testing to help evaluate your heart.
- Pulmonary function studies to determine the lungs ability to exchange oxygen and carbon dioxide.
- Biopsy and Review the pervious Block or Slide to recognize the present condition of the diseases.
- Human leukocyte antigen ( HLA Matching), typing is a method to determine how closely the tissues of one person match the tissues of another person. most likely place to find an HLA match between two people is among siblings who have the same mother and father.
Types of Liver Transplant Donor
There are principally two types of Liver Transplant Donor – living donation and deceased donation.
- Living organ donation:- A living donor is usually someone in the family or a close friend.
- Deceased organ donation:– Liver transplantation can be done with a deceased donor from someone who has died. The large majority of liver transplants use the entire liver from a non-living donor for the transplant, particularly for adult recipients.
Criteria for Liver Donation for a Donor?
- A Donor must be willing to donate and must be aged between 18-55 years.
- The weight must be 50-85 kg.
- The donor should be a first relative or member of the family.
- The blood group of both donor and recipient must be identical/matching.
- All the body parts of the donor must be functioning properly.
- Satisfactory volume of liver must be available for the recipient while partial liver of the donor is used.
- The appropriateness of the donor for the liver donation would be confirmed by the Liver Transplant Team after revising the above declared characteristics and medical diagnosis.
Screening for Liver Transplant Donors?
Your liver transplant team will explain the upcoming tests and any potential risks, as well as the living-donor liver surgery itself.
- Initial history and physical exam to ensure you have no identifiable medical problems or history.
- Psychiatry visit to confirm you are able to handle the physical and emotional changes associated with liver donation.
- Blood tests that incorporate tissue typing also known as HLA (Human Leukocytic Antigens) test. HLA are actually markers found on the surface of the cells in the blood and also performed to check ferritin, complete metabolism, haemoglobin solubility, blood type, blood count and platelet count, frequency of bleeding and the amount of immunoglobulins
- Echocardiogram involves the use of pictures created by sound waves bounced off the heart to see how well your heart and valves are functioning. You may also need a stress test to check for heart disease.
- CT scan, which are detailed pictures of the internal organs, to determine the size of the portion of the liver that can be safely donated, and to check the adequacy of the liver’s blood supply.
- Pulmonary function tests to determine how well the lungs are working.
Risk and Complications of Liver Transplant in India
To allow the transplanted liver to survive in a new body, the given medications should be taken regularly. The most common symptoms of rejections are fever, jaundice, dark urine, itching, fatigue or irritability, nausea and headache.
The two most common complications following liver transplant are rejection and infection
Infection:
Because anti-rejection drugs that suppress our immune system are needed to prevent the liver from being rejected, our body will be at an increased risk for infections. This problem diminishes as time passes. Not all patients have problem with infections, most infections can be treated successfully as they occur.
Rejection:
Our immune system works to destroy foreign substances that invade our body. The immune system, however cannot distinguish between our transplanted liver and unwanted invaders, such as viruses and bacteria. Therefore, our immune system may attempt to attack and destroy our new liver. This is called rejection episode. About 70% of all liver-transplant patients have some degree of organ rejection prior to discharge. Anti-rejection medications are given to ward off the immune attack.
Types of Liver Transplant Procedure:
Orthotopic Transplantation:-
In this procedure the receipient’s diseased liver is completely replaced with the healthy liver.
Heterotopic Transplantation:-
In this procedure, the diseased liver is kept remain intact at its place and donor’s liver is placed at the nearest site to the diseased liver. This procedure is performed when the doctor is of the opinion that the diseased liver might recover, if the liver recovers, the other organ shrivels away, if not, then the original one shrivels and the donor liver performs the body functions.
Reduced-size Liver Transplantation:-
This procedure is generally performed on children and involves the transplanting a part of the healthy donor liver into a patient. This procedure is performed when 15-20% of the original liver is intact. This way, one donor liver can be used for two successful transplants.
How Liver Transplant Procedure is performed
- The surgery usually takes between five and six hours, but may be longer or shorter due to the difficulty of the operation and the experience of the surgeon.
- Liver Transplantation is performed under a general anesthesia.
- Before the surgery, a tube is placed through the mouth of patient into windpipe to help breathe during the operation.
- A Y-shaped incision in the abdomen is made and the diseased liver is removed. Donated liver is then inserted and attached to the major blood vessels and to the bile ducts. The incision is then closed at the end of surgery.
- Entire procedure of liver transplantation surgery usually takes about 6-12 hour to perform successfully.
After your liver transplant, you can expect to:
- Possibly stay in the intensive care unit for a few days. Doctors and nurses will monitor your condition to watch for signs of complications. They’ll also test your liver function frequently for signs that your new liver is working.
- Spend 5-10 days in the hospital. Once you’re stable, you’re taken to a transplant recovery area to continue recuperating.
- Have frequent checkups as you continue recovering at home. Your transplant team designs a checkup schedule for you. You may undergo blood tests a few times each week at first and then less often over time.
- Take medications for the rest of your life. You’ll take a number of medications after your liver transplant, many for the rest of your life. Drugs called immunosuppressants help keep your immune system from attacking your new liver. Other drugs help reduce the risk of other complications after your transplant.
When Will I Be Able to Go Home After a Liver Transplant
The average hospital stay after a liver transplant is 2 weeks to 3 weeks. Some patients may be discharged in less time, while others may be in the hospital much longer, depending on the complications that arise to the patients.
Discharge instructions for liver transplant
- You must be able to get out of bed, walk, eat, and shower on your own
- You must demonstrate understanding of your medication regimen
- Your incisions must be healing normally
- You must have an acceptable blood level of your primary immunosuppressive medication. This will usually be tacromilus (Prograf), but occasionally others are prescribed.
Self Care
- Rest as needed. Slowly start to do more each day. Return to your daily activities as directed.
- Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you.
- Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Ask if you need to be on a special or low-salt diet.
- Maintain a healthy weight. Ask how much you should weigh. Ask your healthcare provider to help you create a weight loss plan if you are overweight.
- Exercise as directed. Ask about the best exercise plan for you. This may help increase your energy levels and help you feel better.
- Do not drink alcohol or use tobacco products. Alcohol and tobacco can harm your new liver. Ask for information if you currently drink alcohol or use tobacco products and need help quitting.
Frequently asked questions for Liver Transplant In India
How much it costs for Liver Transplant in India?
What is the success rate of liver transplant in India?
The success rate of Liver transplant in India has been 90%. But like any other transplant, liver transplant has its very own risks and complication.
How long can a person live with a liver transplant In India?
In general, about 75% of people who undergo liver transplant live for at least five years. That means that for every 100 people who receive a liver transplant for any reason, about 70 will live for five years and 30 will die within five years
Who can donate for liver transplant in India?
The living liver donor should be a 18-55 years old, willing and healthy family person weighing between 50-85 kg, should not be overweight or obese (since such people tend to have fatty livers that may not work well in the recipient), and should have either the same blood group as the patient’s or blood group “O”
Why should you go for Liver Transplantation in India
In the past few years, the liver transplant technology and technique have progressed in India and is not a usual procedure accessible across the country. The survival rate is at par with the best across the globe. India has some of the top hospitals for a liver transplant with the best current technology and state-of-the-art infrastructure. India is a very viable option for undertaking the treatment primarily because of the highly reasonable cost for the procedure. India has many experienced doctors and surgeons who have established their top-notch credibility.
Is there an age limit for liver transplantation?
The age limit is individualized as it varies with a patient’s overall health condition. However, it is rare to offer liver transplant to someone greater than 70 years old.
What are the risks of being a live liver donor?
Even though live liver donation is considered a very safe operation, it involves major surgery and is associated with complications, which may include:
- Possible allergic reaction to anesthesia
- Pain and discomfort
- Nausea
- Wound infection
- Bleeding that may require transfusion
- Blood clots
- Pneumonia
- Bile leakage, bile duct problems
- Hernia
- Scar tissue formation
Best Liver Transplant Surgeon In India
Dr Arvinder Singh
Chairman , MBBS, MS, FRCS, FRCS 30 Years of Experience Gurgaon, India
Dr Vivek Vij
Director , MBBS, MS, DNB 17 Years of Experience New Delhi , India
Dr Subhash Gupta
Chairman , Fellowship, MS, MBBS 37 years of experience New Delhi , India
