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Liver Transplant Surgery Turkey

Liver Transplant Surgery Turkey

The liver is one of the largest organs of our body, and its weight can vary from 1.4-1.6 Kg in adults. It has a dark red color and a triangular shape. It performs many functions in our body.

The main duties of the liver are:

  1. It filters the blood continuously and purifies it from toxic substances.
  2. Converts the foods that we consume as nutrients into forms that our body can use or produces secretions that perform this function (such as bile production for the digestion of fats).
  3. Produce enzymes, proteins and blood clotting structures.
  4. It fulfills the function of storing the necessary energy substances for our body (such as fat, sugar, iron and vitamins).

Our liver, which is important for our body, may lose its functionality and liver failure for some of the following reasons:

  1. Acute liver failure: It is liver failure that occurs within a period of time that can be measured within a few weeks. It is a rare condition usually caused by complications of some medications.
  2.  Chronic liver failure: It occurs slowly over the months and years. The most common cause is Cirrhosis Disease.

Liver transplant surgery is considered in cases where the life expectancy is very short if the transplant cannot be taken under control with any other treatment.

Liver transplant is a surgical procedure performed by replacing a liver that is no longer functioning properly (liver failure) with a liver from a donor who has had a brain death, or by replacing a part of the liver from a living healthy donor.

Liver transplant surgery with a piece of liver to be taken from a live donor is based on volunteering. Whether the donor meets the medical conditions necessary for transplant is definitely checked by specialists. There should be kinship relationship between the recipient and donor up to 4th degree. In cases where there is no kinship until the 4th degree, the approval of the Official Institutions is required.

Liver transplant surgery is an operation in which many doctors attend the surgery. It is performed by a team which has high medical experience. In our country, liver transplant operations are performed at World Standards.

Phase 1: Before Liver Transplant Surgery.

Phase 2: Liver Transplant Surgery

Phase 3: After Liver Transplant Surgery

Phase1 : Before Liver Transplant Surgery

Referral and Evaluation (What should be done before liver transplant?):

At the time of the application or referral of a patient for liver transplant the transplant coordinators will collect the patient’s physical information, past medical history and results of any previous diagnostic tests and treatments as well as a description of his or her current condition and legal paperwork. A transplant evaluation will be scheduled for the patient, which will include;

  1. Laboratory tests, including blood and urine tests to assess the health of donors and recipients organs, including the liver
    1. Recipient: Hemogramm, Coagulation, Biochemistry, Liver Function tests, Kidney Function Test, Lipid Profile, Tumor Markers, Viral Markers,Metabolic and Vitamin, Endocrinology
    2. Donor: Hemogramm, Coagulation, Biochemistry, Liver Function tests, Viral Markers, Metabolic and Vitamin, Endocrinology, Kidney Function, Lipid Profile, Tumor Markers,Viral scanning, Uriner tests
  2. Radiological imaging tests, such as an ultrasound of donors and recipients liver
    • Recipient: Liver Vascular Doppler, CT& Angio CT, MRI, Breast USG or Mammography (if female)
    • Donor: CT&CT Angio, MRI, MRCP, ECG, Chest X- Ray, Liver Bx, Breast USG or Mammography (if female)
  1. A general health exam, to consult donors and recipients overall health: 
    • Cardiology Consultation
    • Gastroenterology
    • Nephrology
    • Dentistry
    • Infection Diseases and Microbiology 
  1. Supplementary consultations and interventions, necessary following all the examinations and imaging.
    1. Recipient over age 40: Gynecology or  urology, endoscopy and colonoscopy
    1. Donor over age 40: Gynecology or urology, endoscopy and colonoscopy
  2. Psychological evaluation to determine whether donor and recipients fully understand the risks of a liver transplant
  3. Meetings with social workers who assess the recipients support network to determine whether he/she has friends or family to help care for him/her after transplant
  4. Addiction counseling to help people with alcohol, drug or tobacco addictions to quit
  5. Financial counseling to help patient and family members understand the cost of a transplant and post-transplant care

Phase 2 : Liver Transplant Surgery

Transplant Surgery (How is liver transplant done? How long does the liver transplant operation take?):

All liver transplants are done in an orthotopic fashion, that is, the native liver is removed and the new liver is placed in the same anatomic location. The transplant operation can be conceptualized as consisting of the hepatectomy (liver removal) phase, the anhepatic (no liver) phase, and the postimplantation phase. The operation is done through an incision in the upper abdomen. The hepatectomy involves division of all ligamentous attachments to the liver, as well as the common bile duct, hepatic artery, hepatic vein and portal vein.

The donor's blood in the liver will be replaced by an ice-cold organ storage solution, until the allograft liver is implanted. Implantation involves connections of the inferior vena cava, portal vein, and hepatic artery. After blood flow is restored to the new liver, the biliary connection is constructed, either to the recipient's own bile duct or to the small intestine. The surgery usually takes between five and six hours, but may be longer or shorter due to the difficulty of the operation.

Phase 3: After Liver Transplant Surgery

Post Transplantation(What are the things to do after liver transplant surgery?):

Life after transplant involves continuous follow-up by a physician as well as certain measures to more easily adapt to daily life. The recipient would need follow-up outpatient visits to ensure his or her general health and the functioning of the transplanted organ. These follow-up visits get less frequent over time and the recipient can reach the transplant center via telephone or internet anytime the patient has a concern or question. The donor would get a

physical examination prior to discharge from the hospital to ensure his or her general health and the functioning of the remaining organ. First follow-up visit would be in 6 months and then annually. Mindful physical activity, healthy and balanced nutrition, general hygiene and preventive measures for infections are important for organ recipients.

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Prusa Medica | Medical Travel Turkey | Health Tourism Turkey

Prusa Medica | Medical Travel Turkey | Health Tourism Turkey

Prusa Medica | Medical Travel Turkey | Health Tourism Turkey

Prusa Medica | Medical Travel Turkey | Health Tourism Turkey

Prusa Medica | Medical Travel Turkey | Health Tourism Turkey
Prusa Medica | Medical Travel Turkey | Health Tourism Turkey