A healthy liver is essential for survival. You may require a liver transplant if your liver stops performing properly.
If you have end-stage liver disease, a liver transplant may be recommended (chronic liver failure). This is a life-threatening liver condition. It can be caused by a variety of disorders affecting the liver.
End-stage liver disease is frequently caused by cirrhosis. It's a type of liver illness that's been there for a long time. When healthy liver tissue is replaced with scar tissue, this occurs. The liver is unable to function correctly as a result of this.
Other illnesses that can lead to liver failure include:
Click here for more indications of liver transplant you should know.
Even though each person and each transplant is unique, many of the surgical procedures involved in a liver transplant are the same.
During the transplant procedure, the patient is incubated and linked to a ventilator to assist him to breathe. The skin above his abdomen is wrapped securely with a thin drape packed with betadine after thorough cleansing. This helped to keep any leftover bacteria out of the wound.
Bypassing or clamping off veins, arteries, and bile ducts, the surgeons carefully detach the patient's damaged liver from his body. Doctors carefully expose blood arteries during the liver transplant process to ensure little blood loss. Meanwhile, the donor's liver is kept in a sterile, iced cold storage solution on a back table in the same operating room.
The anesthetist keeps a close eye on the patient's vital signs and the amount of anesthetic being administered.
The liver is ready to be removed about halfway through the procedure. It's taken to the pathology department to be examined. After that, the person is hepatic, or without a liver, for a short length of time. During transplant surgery, recipients are usually hepatic for roughly 40 minutes until the donor's liver is attached.
The new liver is surgically implanted into the boy's thoracic cavity, and the surgeons begin connecting the organs. They connect the cava vein (the body's largest vein) first, then the portal vein.
The clamps were opened once the lead surgeon connected the portal vein, and the liver entered a "time of profusion." The new liver changed color from beige to pink to a dark, healthy purple as blood poured into it. Another indicator of healthy blood flow was a small amount of blood coming out of the new liver's artery. The arteries are then connected. Sutures will be composed of a synthetic substance that is extremely smooth and does not dissolve.
By the yellow bile it has already begun to create, the doctors can determine that the new liver is doing its duty. Food does not reflux into the liver because of the length of the intestine between the bile duct and the stomach.
Two technicians with an ultrasound machine enter the room before shutting the abdomen. They can use ultrasound to make sure blood is still flowing through the arteries and veins.
The surgeons will be able to close the incision after the new liver is in place and functioning appropriately. Following that, the patient will be transported to the ICU while still asleep.
Doctors will take the patient off the ventilator once he has recovered from anesthesia and is able to breathe on his own. He'll stay in the ICU for one to three days before being transferred to a room in the hospital's transplant unit, where he'll stay for around two weeks. After being discharged, the patient will remain in the Pittsburgh region for two weeks, attending a clinic twice a week. The transplant team can assess how well his new liver is working, change medication dosages, and treat any issues he may be having at the clinic. The youngster can return home under the care of his local doctor once the immunosuppressive regimen has been established. He'll visit the clinic less frequently in the future for follow-up.