www.mimsindia.com/livertransplant

Centre for LIVER TRANSPLANTATION

Live long with a Healthy Liver

Transplanitng LivesTransplanitng

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FEATURES OF LIVER FAILURE

Some of the commonly found symptoms

of liver disorders are

s Loss of appetite

s Lethargy and weakness

s Muscle wastage (becoming skin and bones)

s Fluid build-up in the abdomen (ascites)

s Yellow skin and eyes (jaundice)

LIVER CARE

The liver performs many functions, including building proteins, removal of toxins from the blood and ensuring proper metabolism and energy storage. Without the right care and precaution, a number of factors can cause disruption of these crucial functions during which liver transplantation may be the best and only option.

LIVER FUNCTIONS

s Helps digest food

s Removes toxins and other harmful wastes from blood

s Helps build protein

s Assists nutrition absorption and energy conversion

s Supports the body’s defense system

s Facilitates vitamin storage and usage

s It breaks down many drugs

Malabar Institute of Medical Sciences is one among the few recognized liver transplantation centers in the country and off ers some of the fi nest amenities and professional resources within the region. Owing to the complexity and age old stigma involved in the process of liver transplantation, the patients and the family will have quite a lot of concerns and queries to

which we seek to provide an insight and help relieve worries and anxiety. The information contained herein is of general nature and should not be construed as specifi c medical advice. Please consult your doctor for more details

s Amnesia, confusion or croma

(encephalopathy)

s Swollen hands/legs

s Itching

s Bruising , bleeding easily and nose bleeds

s Blood in vomits, bloody/

black bowel movements

Liver transplantation involves the process of surgically removing a disease-inflicted or damaged liver and replacing the same with a healthy one either from a living donor or a cadaver. The concept of liver transplantation is not something new and the same has been carried-out out across the world for over four decades now. During this period of time, millions of patients all over the globe after undergoing liver transplantation at acute and critical stages, today lead a healthy, safe and joyful life.

UNDERSTANDING LIVER TRANSPLANTATION

The primary reason for liver transplantation is Liver Cirrhosis which is most commonly due to alcohol that destroys healthy liver cells and replace them with scar tissue. Cirrhosis may also be caused by viruses such as hepatitis B and C, autoimmune liver diseases, build-up of fat in the liver, and hereditary liver diseases. It is also a common scenario that at times, the cause of liver cirrhosis is completely mysterious and unknown.

Another common reason for liver transplantation is biliary atresia in children where Bile ducts, tubes that carry bile out of the liver, are ruptured or damaged and the resulting obstruction cause cirrhosis. Other major causes and concerns for liver transplantation are certain liver cancers, benign liver tumors and hereditary diseases. Furthermore, sudden or rapid liver failure may sometimes affect children and adults.

The common causes for sudden liver failure include viral illnesses and drug reactions and even certain herbal/traditional medicines. A liver transplant can save life if undertaken at the right time.

REASONS FOR LIVER TRANSPLANT

Based on your past health report and the extent of damage, a doctor may recommend you to the liver transplant unit for further evaluation where you shall be assessed by a team of doctors usually led by a liver transplant surgeon and includes liver specialists(hepatologists, nurses , and other

ARE YOU IN NEED OF A LIVER TRANSPLANT?

INDIVIDUALS RESTRAINED FROM HAVING LIVER TRANSPLANT You are not eligible for a transplant if you have

s Cancer in another part of your body

s Serious heart, lung or nerve disease

s Active alcohol or illegal drug abuse

s An active , severe infection

s Inability to follow doctor’s instructions

health care professionals). The transplant team will arrange blood tests, x rays , and the feasibility report to identify the success rate of the transplant. Other aspects such as health condition of your heart, lungs, kidneys, immune system, and mental health may also be assessed prior to the surgery.

If the patient care team recommends that you need a transplant you will be counseled regarding your options of going for a living donor transplant or cadaver liver transplant. If you are able to find a willing living donor in your family, your waiting time could be as short as one week as much of the time would be taken up for tests and legal formalities before transplant surgery. The testing makes sure the

liver is healthy, matches your blood type, and is the right size so as to best chance of working in your body. In case you do not have a living donor, your name will be placed on the Kerala Network for Organ Sharing (KNOS) waiting list with your consent. Your blood type, body size and how sick you are, plays a role in deciding your place on the list.

SURGERY AND RECOVERY TIME

The duration of surgery may vary from 6 to 14 hours after which the post-surgery care requires hospitalisation for an average of 2 to 3 weeks to ensure proper working of the transplanted liver. Medicines and auxiliary support will also be provided during this

LIVER CARE AT MIMSSURGICAL CARE

period to prevent rejection of new liver and also to prevent infections. Regular examination will be carried out for infections and rejection and routine diet will resume starting with clear liquids, then switch to solid food as the new liver gains vitality and functionality.

MIMS with its pedigree and passion for excellence has pioneered the science and technology required for performing liver transplantations that is an extremely complex operations. Furthermore it was the first medical institute to perform both live and deceased successfull liver transplantation in Northern Kerala adding to the trust and goodwill.

LIVER CARE AT MIMSLIVER CARE AT MIMS

The comprehensive liver transplant care program offered at MIMS aims to provide effective health care by connecting specialists dealing with liver diseases and providing care and commitment to pave forward a fresh lease of life and bring the smile back on life as one returns to normalcy.

I am Vijayan. I used to work as a driver in a private textile company at Calicut. My happiness was short-lived and life shattered when I came to know about my looming liver disease. The doctors at MIMS informed me about liver transplantation as it was the only way to save my life. The wait for a possible donor was long and unbearable. Finally, my wife Sindhu, came forward to donate a part of her liver. Days and months have passed by aft er my surgery at MIMS, today my happiness has found its home, for I know a part of my life is a part of my body. Thank you Sindhu, thank you MIMS.

“I was diagnosed at MIMS and found that my liver was damaged. I ended up in liver failure and had to be transplanted. I had no idea about my situation or what its treatment was all about. My transplant was successful because of the helping mind of Mr. Raveendran and the expertise of the doctors at MIMS. I’m grateful to be alive. While I am limited in certain respects, I am able to live a happy life.”

“Hi. I am Surendran. I was diagnosed with a life threatening liver disease almost two years back. I consulted a number of specialist doctors and was even told by a hospital in Mangalore that I had no possible chance of survival. That was when MIMS came to my life with a glimmer of hope. With my loving wife willing to be the donor for my liver transplant surgery, my prayer to get back to life was answered and hope turned to reality aft er the successful completion of my surgery at MIMS. I believe God works in miraculous ways and MIMS was the hand that gave me my second life. Thank you MIMS”

“I was diagnosed with a rare liver condition that required me undergo a transplantation surgery. I knew I was running out of time as we all waited for a right donor. That was when a brain dead patient’s family came with the kindness and humanity to save my life. He was declared brain dead at MIMS Hospital aft er an accident. With the consent of his family, the experienced doctors at MIMS went ahead with the liver transplant procedure. On 26th August 2013 I was brought back to life. Today, I live a happy and healthy life, thanks to the donor’s family and the kindred hearts at MIMS.”

Vijayan & Sindhu Vijayan

Raveendran & Satheesh Kumar

Surendran & Rathi Surendran

Praseetha

Joy V. A.

LIFE speaks...

“I am a farmer, 56 years, from Kenichira, Pulpalli, Wayanad. In 2010, I was diagnosed with a chronic liver disease. The doctors determined that I needed organ transplantation. I have received the organ and aft er the transplantation, today I feel so relaxed and healthy. My family and I express our sincere gratitude to MIMS for their great care and compassion.”

Dr. Anish Kumar MBBS MD, DM

Sr. Consultant & HOD

Dr. Biju I K MBBS MD, DM

Dr. Tony Jose MBBS MD, DM

Dr. Rajneesh MBBS MD, DM

Dr. Sajeesh SahadevanMBBS, MS, MCh

Sr. Consultant & HOD

Dr Kishore K MBBS, DA, MD, FCARCSI

Dr. Rajesh Nambiar MBBS, MS, DNB (GI Surgery)

Dr. Sreelatha Varma MBBS, DA, DNB, MNAMS

Dr. Rohit Ravindran MBBS, MS, MNAMS,

DNB (GI Surgery)

Dr. Preetha Chandran MBBS, DA,DNB

Dr. Seetha Lakshmy MBBS, MS, DNB, MNAMS

Gastro Enterology

& Hepatology

LiverTransplant

Surgeons

LiverTransplant

Anaesthesio-logists

MALABAR INSTITUTE OFMEDICAL SCIENCES LTD.Mini By-Pass Road, Govindapuram P.O.Calicut - 673 016, Kerala, India.Phone: + 91-495- 3911 400, 2488 000Fax : + 91-495-2741329 Email: mimsclt@mimsindia.com

www.mimsindia.com

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