Successful Liver Transplant done for a rapidly deteriorating 26 year old mother with severely damaged Liver.

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Successful Liver Transplant done for a rapidly deteriorating 26 year old mother with severely damaged Liver.

30th Jul 2016

MIOT Team of doctors at the MIOT Advanced Centre for Gastrointestinal and Liver Diseases successfully performed an Emergency Liver Transplantation for a 26 year old mother. The surgery lased for 7 hours the patient was out of life supports within the 24 hours of the surgery.

26 year old lady (mother of a 5 year old child) had complaints of indigestion and vomiting for 3 days. She was diagnosed to have Jaundice in a neighbourhood clinic and then she approached a local hospital for further treatment. The evaluation in the local hospital could not figure out the reason for the jaundice nor could arrest its worsening. Later she was referred to MIOT International (with 10 days history of jaundice and severe abdominal pain) for further evaluation/expert treatment.

The patient was admitted at the MIOT Advanced Centre for Gastrointestinal and Liver Diseases and underwent extensive evaluation by a team of Doctors. She underwent a special procedure called Trans-Jugular Liver Biopsy which clearly showed that the liver was severely damaged and required emergency Liver Transplantation.

The patient’s father and brother came forward to donate a portion of their liver for transplantation but were not found suitable. So her mother was being worked up for living donor liver transplantation, which was planned for the same day night.

Meanwhile the patient was rapidly deteriorating and was soon in coma and on life supports and ventilator. The end was looking only a few hours away without a timely liver transplantation.

A state wide alert for a SUPER URGENT ALLOCATION of any available organ was sounded to the state transplant authority. Fortunately, on the same evening, the family of a 31 year old road traffic accident victim who was declared brain dead came forward to donate his organs. The patient underwent an uneventful liver transplantation from this donor, in a surgery lasting 7 hours. The new liver started functioning immediately and the patient woke up from coma over the next 12 hours and was out of life supports within the 24 hours of liver transplantation.

The serial Doppler scans showed perfect functioning of the new liver. By day three the patient was up and about, interacting with her family and on normal diet. The patient continues to do well and is looking forward for discharge very soon to join her daughter at home.

Trans-jugular liver biopsy:

TJLB is performed in patients when liver biopsy is essential for the diagnosis and management but percutaneous biopsy is contraindicated due to deranged bleeding parameters or ascites. Here the biopsy is performed inside the blood vessel leading to liver and not in the liver.

This procedure needs very high expertise and is performed in very few hospitals in India.

About MIOT Hepato-Pancreatico-Biliary Centre for Surgery and Transplantation:
The MIOT Hepato-Pancreatico-Biliary Centre for Surgery and Transplantation (a part of MIOT Advanced Centre for Gastrointestinal and Liver Diseases) through its MIOT Gold

Standard Liver Transplant Programme has performed several successful Liver transplants (Including cadaver and live donor) since the inception of the programme with success rate in par with international standards. MIOT’s multidisciplinary liver transplant team includes hepatologists, India’s top transplant surgeons and anesthetists who specialise in liver surgery, besides haematologists, oncologists, interventional radiologists and infectious disease specialists. The team is supported with a world-class surgical & intensive care team, sophisticated imaging and radiology facilities, advanced laboratory services, surgical and ICU facilities, a dynamic blood bank, specially-trained nursing staff, counsellors and nutritionists.