Chronic Liver Cirrhosis Liver Transplant Surgery

Clinical Case Report: Liver Transplantation for End-Stage Chronic Liver Cirrhosis in a 52 Year Old Male Patient from Iraq in India

According to the medical reports, patient is diagnosed with Chronic Liver Cirrhosis. Chronic liver cirrhosis is the late stage of chronic liver disease where healthy liver tissue is replaced by permanent scar tissue. This progressive scarring disrupts the liver’s internal structure, blocks normal blood flow, and severely restricts its ability to process nutrients, filter toxins, and produce vital proteins.

Evaluations needed – The patient will have to undergo detailed physical and clinical investigations which include –Fibro scan, PFT, FNAC,  CT liver angiogram ,HBs Ag, Anti HBs Abs, Anti HCV Abs, Hepatitis B, Hepatitis C, & AFP, Bronchoscopy, Endoscopy, CBC, LFT, KFT, Ultrasound whole abdomen, Urine investigation, blood Investigation and other related investigations to confirm the above diagnosis.

Treatment Plan: Final treatment plan will be decided after investigations only. Once the diagnosis is confirmed, he may possibly require Liver Transplant Surgery.

 Liver Transplantation is a surgical procedure performed to replace a diseased liver with a healthy liver from another person. The liver may come from a living donor who is a close family member. Family members make a good match may be able to donate a portion of their liver (same blood group / O group). In case they are not blood group compatible patient may need to undergo Electrophoresis therapy before liver transplant. The success rates of transplant are better if the donor is from the immediate family. Donor has to be between 18 to 45 years as required by the human transplant act of our country. Kindly find out more about the liver transplant by accessing the link:  https://hbgmedicalassistance.com/treatment/liver-transplantation/

 ** The donor’s liver grows back to its own original shape within weeks. Thus, the donor has nothing to lose but he/she ends up saving a valuable life. 

Kindly note: The advised treatment plan is solely based on the reports shared with us; the final line of treatment will be decided post clinical and physical evaluations of the patient on arrival only.

Stay in India:  For Liver Transplant – Patient will require 1 week to finish investigations. If Liver transplant, then hospital stay will be for 21 days for the patient & 9-10 days for the donor. Post-transplant, the patient will have to stay in India for about 4-5 weeks for follow-up.

We’d recommend the following hospitals having Top doctors as below
 
1. Amrita Hospitals  // Dr. Shaleen Agarwal  

2. Artemis Hospital, Gurgaon– // Dr. Giriraj Bora–  

3. Dr L H Hiranandani Hospital, Mumbai, //  Dr. Prashantha Srikanta Rao 

4.  BLK-MAX Super Specialty Hospital  // Dr. Abhideep Chaudhary  

Important information for Liver Transplantation laws in India:

• Patient would need to have a blood group compatible healthy Liver donor from their family. In case they are not blood group compatible they may require to undergo Electrophoresis therapy before liver transplant.   (The success rates of transplant are better if the donor is from the immediate family.)
• Donor has to be between 18 to 45 years as required by the human transplant act of our country.
• The donor and recipient will have to undergo detailed tests, which could take 4 to 5 days (depending on what is found on investigations), prior to transplantation.
• Documentary evidence of relationship e.g., relevant birth certificate.
• Documentary evidence of identity and residence of the proposed donor e.g. Passport or Driving License or Bank Account and family photograph depicting the proposed donor and the proposed recipient along with another near relative.
• Donor’s first relative should be available before the liver transplantation committee meeting to give consent.  In case the donor is married then the spouse has to be present as an attendant. In case the donor is unmarried then the (father, mother, real brother or sister) has to be present as an attendant.
• The country embassy in Delhi will certify all the proofs of certificates and documents of relationship between the donor and the recipient. Transplantation can be done only after the govt. authorization committee approves the donor.
• Patient and the Donor should come on the Medical Visa.

Estimated Costs:

The estimated cost for detailed evaluation will be approx. USD 2000-2500 on OPD basis for patient and donor both.

The estimated cost of Liver Transplant Surgery at various hospitals is as below:

Kindly Note –The given cost is a tentative cost based on the shared information. The exact line of treatment and cost can be provided only after reviewing the latest investigation. Kindly note that cost may change in case the diagnosis or line of treatment changes or due to any other prevailing situation.

Inclusions of the mentioned cost for – Liver Transplant:

 
1. Full standard evaluation tests for recipient & one donor 
2. Donor & Recipient surgery
3. Investigations & Bedside Procedures for both donor & recipient
4. 18 days hospital stay for recipient & 10 days hospital stay for donor (beginning the day before the operation).
5. All meals for the patient and the attendant as per the available menu while in the hospital.
6. The cost of Consumables and Medicines while in the hospital.
7. The fee for dietician and nursing while in the hospital.
8. It will also include complimentary airport transfers

Exclusions:

 1.      Any consultation other than in discussion
2.      Extended stay.
3.      The stay of the attendant while the patient is in ICU.

On Arrival: Patient and his attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with the reasonably charged accommodation near the hospital.  Patient and attendant may arrange 30-35 USD per day toward accommodation at the Guest House.

VISA Service: Kindly share the passport details of patient and attendant with us. On the basis of passport details, our International Patient Services team will help you in arranging visa by writing a letter to Indian High Commission/Embassy in your country. This helps to obtain medical visa not only for the patient but also for accompanying attendant. This is a complementary service from our side.
 
Hope, I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting the patient in India.

Aabbhik.