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Doctor Dispatch

Complex Liver Transplant at Kamineni Hospitals gives new lease of life to 73-year-old patient

Medicines can cure diseases, but only doctors can cure patients. Surgeons at Kamineni Hospitals, LB Nagar, Hyderabad, performed a Complex Liver Transplant surgery on 73-year-old Manjit Rai Dua, who had a medical history of Cryptogenic CLD, Pulmonary Hypertension, Hepatic Encephalopathy, Ascites, and Upper GI Bleed. He also had multiple endoscopies due to history of multiple blood vomiting’s for the past 5-6 years, Hepatic Encephalopathy, and Pedal edema. Upon performing medical tests, surgeons came to the conclusion that the patient was suffering from cryptogenic liver disease called cryptogenic cirrhosis.
Liver function is compromised by a disorder called cryptogenic cirrhosis. Cirrhosis, which results in liver scarring, causes people with this syndrome to acquire permanent liver disease in their mid to late adult years. Non-alcoholic steatohepatitis is believed to play a significant role in cryptogenic cirrhosis, despite the fact that the actual cause is unknown. Obesity, hyperlipidemia, and metabolic issues like diabetes have all been linked to the emergence of this illness. A liver transplant is the sole choice for treatment if cirrhosis worsens and the liver is badly damaged. This big procedure involves removing the sick liver and replacing it with a donor liver that is healthy.
The patient Manjit Rai Dua, resident of Delhi, came to know that Kamineni Hospitals in Hyderabad, Telangana has been successfully performing liver transplant surgeries with ‘Live Donor & Cadaveric Donor’ livers, and a special medical team of ‘Liver Transplant’ specialists from various medical departments has been performing liver transplant surgeries in most advanced operation theatre. So, he registered himself for treatment through Jeevandan.
“When he came to Kamineni Hospitals, LB Nagar, Hyderabad, the patient was suffering from pedal edema, would get easily tired with day-to-day activities, and had occasional episodes of blood vomitings. On detailed evaluation, we found that he needed Liver Transplant. We advised him to list in the Jeevandan cadaveric programme. He was informed of the availability of a liver from a cadaver donor (who was declared brain death) for the transplant. The blood group was B +ve,” said Dr. Rajasekhar Perumalla, Senior Hepato Biliary and Liver Transplant Surgeon, and Director – Hepatobiliary & Transplant Surgery, Kamineni Hospitals, Hyderabad.
“We faced challenges while performing the surgery as the patient was of advanced age. We use advanced cardiac monitoring regularly in our Liver Transplant surgeries which help us to monitor the dynamic changes occurring in these complex surgeries, thereby alleviating Intra OP complications. The surgery on the recipient was performed meticulously by a specialised surgical team. We used blood products very judiciously in order to avoid post-operative complications. This was done by using ROTEM based technology which accurately points out the blood products needed to be given. Post-surgery, he was monitored in a dedicated Liver Transplant ICU supported with very experienced critical care team. The patient was discharged on the 14th day after the surgery, said ” Dr. Lal Meher Pradeep-Clinical Lead Liver Transplant Anaesthesia and Critical Care , Kamineni Hospitals, Hyderabad

The surgery was conducted by Dr. Rajashekar Perumalla, Senior Hepato Biliary and Liver Transplant Surgeon and team of surgeons along with Dr. Lal Meher Pradeep, Senior Liver Transplant Anaesthetist – Liver Transplant, and Dr. Shravan, Senior Anaesthetist. All these doctors have been treating such difficult cases for the past 20 years with negligible morbidity and mortality.



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