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Pre-Liver Transplant Care

Understanding

What is Pre-Liver Transplant Care?

 Pre-Transplant Care (Optimization)

Pre-transplant optimization is a critical phase in preparing patients for liver transplantation. Our multidisciplinary team of liver transplant surgeons, hepatologists, intensivists, nephrologists, nutritionists, physiotherapists, and transplant coordinators work together to ensure patients are in the best possible condition before surgery.

 

  •  Pre-Transplant Care (Optimization)

Pre-transplant optimization is a critical phase in preparing patients for liver transplantation. Our multidisciplinary team of liver transplant surgeons, hepatologists, intensivists, nephrologists, nutritionists, physiotherapists, and transplant coordinators work together to ensure patients are in the best possible condition before surgery.

 

  •  ICU-Based Pre-Transplant Optimization

Patients with advanced liver disease often require intensive monitoring and organ support before transplantation. Our specialized ICU team provides:

  1. Comprehensive multidisciplinary management for complex liver disease.
  2. Hemodynamic stabilization and critical care support.
  3. Ascitic tapping (Paracentesis) for relief from abdominal fluid accumulation.
  4. Continuous Renal Replacement Therapy (CRRT) for patients with kidney dysfunction.
  5. Plasma Exchange (PLEX) for selected cases of acute and acute-on-chronic liver failure.
  6.  Cytosorb Therapy for the removal of toxins and inflammatory mediators.
  7.  Advanced infection control and organ support strategies.
  8.  Continuous monitoring to improve transplant readiness.

 

  • Ward-Based Pre-Transplant Care

Patients admitted to the ward undergo structured optimization programs designed to improve their physical, nutritional, and psychological health.

  1. Dietary optimization and nutritional assessment.
  2. Physiotherapy and rehabilitation programs to improve strength and endurance.
  3. Pre-transplant counseling and patient education.
  4. Comprehensive medical evaluation and transplant workup.
  5. Cardiac, pulmonary, and anesthesia fitness assessment.
  6.  Female-specific fitness and gynecological evaluation when required.
  7.  Psychological support for patients and caregivers.
  8. Donor and recipient assessment coordination.

 

  • Comprehensive Fitness Evaluation

Every patient undergoes a detailed fitness assessment to evaluate overall suitability for liver transplantation. This includes nutritional status, cardiovascular fitness, respiratory function, physical conditioning, and psychological readiness. The goal is to minimize surgical risks and improve post-transplant outcomes.

TRANSPLANT SERVICES

Liver Transplant Surgery
Adult Transplant Surgery Cadaveric Liver Transplant (DDLD) Living Donor Liver Transplant (LDLT) SWAP Transplant ABO Incompatible Transplant Paediatric Liver Transplant
Pre-Transplant Care Evaluation Post-Transplant Care
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Acute Liver Failure Management

Acute Liver Failure is a life-threatening condition that requires immediate specialist care. Our advanced liver critical care team provides comprehensive management using state-of-the-art organ support therapies while evaluating patients for potential liver transplantation.

Advanced Supportive Therapies

  • Plasma Exchange (PLEX)

    Plasma Exchange helps remove toxins, inflammatory mediators, and harmful substances from the bloodstream while replacing deficient plasma components. It can provide crucial support in patients with acute liver failure.

  • Continuous Renal Replacement Therapy (CRRT)

    CRRT is a specialized form of dialysis used in critically ill patients with kidney dysfunction. It provides continuous fluid and toxin removal while maintaining hemodynamic stability.

  • SLED Dialysis (Sustained Low-Efficiency Dialysis)

    SLED combines the advantages of conventional dialysis and continuous therapies, offering effective toxin removal with better cardiovascular tolerance in critically ill patients.

  • Cytosorb Therapy

    Cytosorb is an advanced blood purification technology designed to remove inflammatory mediators and toxins from the bloodstream. It helps control systemic inflammation and supports recovery in selected patients with severe liver failure.

    Our goal is to stabilize patients, support failing organs, prevent complications, and provide timely access to liver transplantation when required.

Frequently Asked Questions

Get answers to your questions

Q1: What should recipients of liver transplants avoid?

A: Steer clear of excess salt, sugar, and saturated fats. In particular, diabetes management requires a low-sugar diet. Maintaining a diet low in saturated fat will assist in controlling your cholesterol levels. Your transplant team will provide you with information regarding your diet.

Q2: Does liver transplantation have an age limit?

A: The age restriction depends upon the overall health status of each patient. It is uncommon, though, to offer a liver transplant to a patient older than 70.

Q3: Who is not eligible to donate Liver?

A: Donors need to have liver anatomy that is appropriate for donation and a compatible blood type. A major medical condition, such as liver disease, diabetes, heart disease, or cancer, cannot be a potential liver donor. You must be a willing adult between the ages of 18 and 60 in order to donate your liver.