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Liver » Liver Transplant

Living Donor or Cadaver Organ- Which Liver Transplant Surgery Choice Should You Go with

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As you or a loved one reaches a point where liver transplant surgery becomes a routine part of your conversations, it gets important to have a clear picture of how things will proceed.


. If you are thinking about liver transplantation, the question about the donor is bound to cross your mind.

A donor could be alive or dead, i.e. a live donor or a cadaver. Both kinds of liver transplant donors have their benefits and risks. Choosing one can get confusing at the least.

To help smooth the decision along, here are a few faces of the case you might want to consider, specifically in light of the region where you are about to have surgery.

Deceased donor organs are limited. Not many folks in this country register for organ donation before their death. In case a donor organ is available, it goes to the sickest. And the Indian Human Transplant Act insists that a foreigner desiring a transplant in this country can only do so if no Indian recipient is in need of the organ.

Well, there is your ‘Supply Issue.’

Taking the organ from brain dead people is the conventional way to go about a liver transplantation surgery. However, finding cadavers can be tricky. A live donor liver transplantation is much more accessible in term of supply at points where a cadaver might just not be available for all.

There is a process to things, you see. Say, a particular number of deceased donor livers are available at any given point of time; they will be allotted to the patients who have the least chance of survival without a transplant.

Also, as many investigative studies have concluded, a liver transplantation surgery with a live donor is an option until a point only. For very sick patients, a liver donor liver transplant might not work at all, which is also a reason why such ones are prioritised for cadaver organ listings.

The matter with a partial liver graft is that it’s a complicated procedure. With increasing levels of sickness (High MELD scores), the chances of the graft procedure going wrong rise. But with a less sick patient, or in the case of acute liver failure, a live donor is a valid and ideal alternative.

Success rates are a fluid concept for liver transplant surgery. Recovery, complications, and the nature of the procedure demand practised hands. The presence or lack of such liver transplant requirements can make a difference, pushing a success rate to 95% or pushing it down to fatal incidents.

There was a total of 1200 transplants in India in 2014, 85% of which used a partial liver from a live donor. There also was reported a one-year survival rate somewhere between 85% and 90%.

It’s Rather On What Fits You, Not What Works Generally

The stats, for no reason, qualify live donors as the better choice for a liver transplant surgery. Given the conditions of the patient and the standard of a medical care facility, the area, the

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