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Liver Transplant in India - Criteria and Details

  • 27 May, 2024
  • 206
  • Medical tourism

 

When a person has a serious liver ailment, a liver transplant can save their life. It entails using a healthy liver from a donor to replace a damaged one. However not everyone is eligible for this process, and donors and recipients must meet certain requirements. We'll go over the essentials in this blog post to help you comprehend what's needed for a liver transplant, for both donors and recipients.

 

Recipient Criteria for Liver Transplants

Severe Liver condition:

 A patient must have a severe liver condition that is not getting better on medication or other treatments in order to be eligible for a liver transplant. This may involve diseases such as liver failure, cirrhosis, or specific hereditary liver problems.

Medical Stability:

The general state of the recipients' health should be stable. This implies that they shouldn't have any other medical conditions that could compromise the transplant's success or increase the chance of complications during the process.

Psychological Assessment:

A psychological assessment is frequently included in the procedure. This makes sure that recipients are psychologically ready for the difficulties associated with the transplant and the recuperation phase following surgery.

Dedication to Post-Transplant Care:

 Adherence to a stringent post-transplant care regimen is necessary for a successful transplant procedure. In order to sustain the new liver, recipients must be prepared and able to take their medications, show up for follow-up appointments, and modify their lifestyle as needed.

 

Who can be a living liver donor?

A close relative, as defined by the THO Act, is a living donor for a liver transplant. This includes the recipient's spouse, parents, siblings, grandparents, and kids. As long as they are in good health, pass all necessary exams, and comply with all legal criteria, any of these individuals can donate.

blood group compatible with the recipient.
A close relative or member of the patient's family (wife, husband, mother, father, brother, sister, son, daughter, grandfather, grandmother, grandchild, granddaughter) is not eligible to donate. Nor are acquaintances, coworkers, or neighbors.
the age range of 18 to 55

Not obese, since those who are obese may have fatty livers
The liver of the donor should be big enough to accommodate both the donor and the receiver (patient).
Before deciding to volunteer for donation, a donor should be in good general physical and mental health, have undergone a complete medical and psychiatric evaluation, and be completely aware of the dangers associated with surgery.

 

 

Compatibility of Blood Groups

 

Donor Blood Group

Recipient Blood Group

O

 

A

 

B

 

AB

O, A, B or AB

 

A or AB

 

B or AB

 

AB

 

How is the assessment of donors carried out?

There are four stages of donor evaluation, with the more costly and invasive testing being saved till the end. The testing is done as an outpatient procedure, usually in conjunction with the recipient evaluation, and takes roughly seven to ten days.

 

Phase-1

Phase-2

Phase-3

Phase-4

 

Liver Function Test

 

Liver Fat Estimation

 

 

Liver Volumes

 

Anatomy of Liver Blood Vessels

 

 

Tests to Evaluate Other Organ Systems

 

Evaluation By Specialists

 

 

A potential donor might not be accepted as a consequence of these tests. The family may experience stress from this, but a dangerous or ineffective transplant is avoided. Next, a different donor needs to be found. Keep in mind that for a transplant to be effective, the emotional well-being and willingness of the donor as well as the patient are crucial. When these aspects are evaluated, individuals should be counseled if any shortcomings are found.

 

What does clearance from the authorization committee mean?

The approval granted by a government-appointed group to perform a living donor transplant is known as authorization committee clearance. Only when this approval is received can a transplant procedure be planned. Proofs of identity, residency, and the link between the donor and the receiver must be submitted to the committee by both parties.

Document falsification or any other attempt to deceive the authorization committee is illegal and is punishable severely. Furthermore, the permission committee is not under the control of the transplant team, and it cannot affect its choice.

A no-objection certificate (NOC) from the state of domicile or embassy is also required for donors who are not close relatives or foreign nationals. Typically, the committee refrains from granting approval to those who are not close relatives because it is impossible to ascertain whether or not money has changed hands.

 

Conclusion

 

For those with serious liver illnesses, liver transplant surgery is a complicated but life-saving procedure that gives them hope. The goal of the liver transplant requirements for both donors and recipients is to increase the likelihood of a successful transplant while guaranteeing the security and welfare of all parties.
It is important to collaborate closely with the doctors if you or someone you know is thinking about having a liver transplant. They may offer tailored advice based on individual cases.


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