Liver Transplant in Singapore

singapore liver transplant in Singapore If all other options to retain the normal working of the liver fails, the doctor recommends a liver transplant and replaces the non-functioning liver with the healthy one. The general outcome of the transplant is that one would be free from all the complications and will be leading a fairly normal life.

When is a Liver Transplant Needed?
Acute Liver failure can occur anytime because of major infections or complications from certain medications. It may also be linked to some other long-term medical condition.
The reasons for a transplant include the following:

  • Hepatitis B
  • Hepatitis C
  • Alcohol induced cirrhosis
  • Autoimmune Hepatitis
  • Primary Hyperoxaluria type I
  • Cryptogenic cirrhosis
  • Primary Biliary Cirrhosis
  • Biliary Atresia
  • Hepatocellular Carcinoma
  • Primary Sclerosing Cholangitis
  • Alagille Syndrome
  • Drug induced liver failure
  • Liver tumors
  • Acute/fulminant liver failure
  • Budd-Chiari syndrome
  • Wilson Disease
  • Hemochromatosis etc. 

Source of Liver Donor:
Cadaver donor:
This donor liver is removed from a person who is already diagnosed as brain dead and the donor's family is willing to donate the organ for transplantation. People who are lucky to get cadaver donors need to wait and waiting time varies with the availability of the donor liver.

Living donor:
Living donor can be a family member (generally parents, siblings, child or someone emotionally close to the patient) to donate part of their liver for transplantation. The donor is thoroughly evaluated by the team to make sure that there would not be any complications to the donor or the recipient.

Auxiliary transplantation:
Living or cadaver donor's liver is transplanted into the patient’s body. The patient’s non-active liver remains the same until the auxiliary piece regenerates and assumes function. The diseased liver may then be replaced. The average success rate of a liver transplant at one and five years is 90 percent and 75 percent respectively.

singapore liver transplant in Singapore Evaluation before the Liver Transplant


Monitoring with the donor and doctors

Prior to the actual liver transplant procedure, consultations are needed. One meets with members of the transplant team to review past medical history and to ascertain appropriate medical treatment. One might meet the following members of the Liver transplant Team.

Transplant & Hepatobiliary Surgeons:
Hematologists are trained in the field of transplantation. They will take care of patient's medical needs during the transplant period.
Transplant Coordinators: Nurses who assist in the evaluation, education and post-operative follow-up. They may provide support to the patient and his/her family in dealing with stress associated with chronic illness and transplantation.

Multi-disciplinary Testing
It includes:

  • Blood Tests to confirm your blood type
  • Evaluate serum chemistries
  • Hematology, coagulation, hepatitis screens
  • Viral studies.

Radiology

  • Chest X-ray, determines whether the patient’s lungs and lower respiratory tract are healthy or not. Liver, other abdominal organs and blood vessels are examined by Ultrasound.
  • Computerized Tomography gives a computer image which shows the size and shape of the liver and major blood vessels.
  • MRI (Magnetic Resonance Imaging) is for more detailed picture of the abdominal organs and their blood vessels.
  • Endoscopy is for a scope to look at the esophagus and stomach and assess for ulcers, inflammation or varices.

Cardiac Evaluation
The Transplant Team requires the patient to undergo a cardiac workup to make sure his/her heart is strong enough to withstand the treatment.

  • ECG ensures how well the heart is beating.
  • Echocardiogram examines the sound waves to look at the heart and the pressure in its vessels.
  • Stress Test examines the heart’s response towards the exercise. There are a few different types of stress tests. Some of them require walking on a treadmill and some give the medicine to make the heart feels that it’s exercising.
  • Cardiac Angiogram is performed, if your stress test is abnormal. Dye is injected into your arteries to help identify any abnormalities or blockages in your heart vessels.

Pulmonary Evaluation

If the patient was a smoker or has a lung disease it may need the following tests:

  • Pulmonary function tests: It assesses the lung's capacity and functioning to determine blood's ability to carry oxygen.
  • Arterial blood gas: It tests the carbon dioxide and oxygen level. For this process blood must be drawn from an artery.

The Transplant Surgery
One needs to take an admission to the hospital during the transplant and get prepared for the surgery.

Cadaver Transplantation:

Patient and his family is informed by a physician from the transplant team to come over to the hospital once the donor liver is available. If there is any sort of infection then the transplant needs to be postponed immediately. But if the team plans to take it forward to the operating room, the patient is admitted the same day. A team of surgeons will be monitoring the surgery to remove the organ from the donor’s body. In some of the cases they can even find something which bars them from performing the transplant, as the organ is not suitable for the patient. In that case the surgery needs to be postponed. In most of the cases the organ is in good condition as series of other tests have already been done before.

Living Donor Transplantation:

This is a much planned operation, hence the both of the donor and the recipient need to undergo presurgical Tests before the transplant, these test include Blood tests, Chest X-Ray, EKG and so many other ones. The donor needs to be admitted to the hospital atleast 7 days before the surgery.
Once the necessary procedures are completed surgeons may contact the family of the patient. The patient may be attached to a cardiac monitor, intravenous lines, tubes, and drains in the Intensive Care Unit When the condition of the patient stabilizes he/she is being transferred to the regular rooms. The average length of the total process is like two to three weeks.   

Life after a Liver Transplant
The first thing one has to keep in mind after operation is the tendency to catch infection. Before one leaves the hospital the team would let the patient and his/her family know which all are the areas to taken care of. Most of the patients get back to their normal life within three months of the transplant. The goal of the surgical team is to provide best possible assistance an guidance to the patient.

One can get world class treatments like the Liver transplant surgery in several of the medical organizations in Singapore from well qualified and professional doctors trained in UK and USA

For a free treatment quote or medical treatment options email us: contact@medicalsingapore.com or call: 0019208895302 or 00919891497299