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A liver transplant is a surgical procedure that replaces a liver that is diseased or no longer functions properly with a liver from a deceased donor or a portion of a healthy liver from a living donor. The living donor can be:
Someone who is emotionally related to the recipient such as a good friend, a significant other, or a spouse.
A family member of the recipient, such as a parent, adult child, brother, or sister.
Other biologically related relatives, such as an aunt, uncle, or cousin.
A person who has heard about the transplant candidate’s need.
Altruistic donation or non-directed living-donor. This means that the donor does not know or name the recipient of the donated liver. The match is based on blood type compatibility and medical need. The donor may choose not to know the recipient or may meet if both agree.
When the living donor is a family member, it is called a living related donor liver transplant.
Living related donor liver transplant is usually used as an alternative to waiting for a deceased donor liver or an altruistic donation to become available. A liver transplant from a living donor is possible because the human liver can regenerate and return to its normal size, capacity, and volume within a couple of months after surgical removal of part of the organ. The transplanted liver portion in the recipient will grow and restore normal liver function as well.
Not everyone can be a living related donor. The donor has to be healthy and able to safely undergo major surgery. In addition, the donor’s blood type, age, and organ size are critical considerations in determining whether the recipient and the donor are a match. Extensive health and psychological evaluation are required to make sure that the donor and the recipient are a match, as well as to assess the donor’s mental and physical health.
A liver transplant surgery from a living donor is usually scheduled in advance.
The surgeons will first operate on the donor. The surgery is done under general anesthesia, a portion of the donor's liver is removed through an incision in the abdomen. Both the left and right lobe of the liver can be used for donation. The specific part of the liver donated depends on the donor liver’s size and the recipient’s needs. Around 40% to 70% of the donor’s liver is removed for transplantation.
Once the donor's liver is ready, the surgeons will perform the liver transplant on you (the recipient). During this surgery, an anesthesiologist will give you a general anesthetic. After you are anesthetized, the surgeons will create an incision under the ribs on both sides of your belly and separate the diseased liver from the nearby organs and structures to carefully remove it. Then, the donated liver portion will be placed in your body by connecting the bile ducts and blood vessels to the new liver. The final step is closing the incision with stitches or surgical staples.
After a living related donor liver transplant, you should expect to spend 5 to 10 days in the hospital. Expect to stay in Austria for at least a month after you are discharged from the hospital as you need to attend follow-up checkups. Your liver transplant team will design a checkup schedule for you. Laboratory blood tests are typically obtained twice a week after transplantation and will be reduced gradually. You must attend all of the follow-up checkups and blood tests because your doctor needs to check your condition.
The recovery period depends on the severity of your condition before your liver transplant surgery. In general, the full recovery time until you feel fully healed after your liver transplant surgery can take around six months or more. However, you should be able to return to some of your normal activities, including work (office job) within 2 to 4 months following your surgery. Simple activities of daily living may be resumed within a few weeks.
You will take medication for the rest of your life – the medications are called immunosuppressant (anti-rejection medicines), which works by keeping your immune system from attacking your new liver. They are used to help the transplanted liver survive in your body.
You will take other medications – you may need other types of medications to help reduce the risk of other complications.
Avoid crowds or anyone who has an infection – anti-rejection medicines affect your immune system, increasing your risk of infections. Therefore, you need to avoid contact with anyone who has an infection or crowds for the first few months.
Eat a well-balanced diet –to help you recover and keep your new liver healthy. A dietitian from your transplant team will discuss your nutrition and diet needs. In general, your diet should be low in fat, salt, cholesterol, and sugar. You also need to avoid alcohol.
Exercise regularly – walk as much as you can soon after your transplant. Then, start to incorporate more physical activity into your daily life. Make sure to check in with your transplant team before starting an exercise routine.
The success rate of the liver transplant depends on your specific situation. In general, around 75% of people who have a liver transplant live for at least five years. People who receive a liver from a living related donor usually have longer survival rates than those who receive a deceased donor liver. Also, people who have a living related donor liver transplant seem to experience fewer medical problems.
The risks and side effects associated with liver transplant include rejection of the donated liver, bleeding, bile duct complications, failure of donated liver, infection, mental confusion, seizures, and recurrence of liver disease in the transplanted liver.
There are currently no alternatives to a liver transplant. However, the alternative to living related donor liver transplant is to wait for a deceased donor liver or an altruistic donation to become available. Make sure to discuss with your doctor the best option for your case.
Before a living related liver transplant, you may have acute or chronic liver failure, which may be caused by a variety of conditions, or you may have certain cancers that originate in the liver. After the procedure, these conditions may be cured. Your survival rates will be increased significantly after the procedure.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Austria is a mountainous landlocked country in south-central Europe. Although it is best known as the birthplace of Mozart and home to the Habsburg Empire, the country also boasts breathtaking Alpine scenery, contemporary architecture, world-class museums, delicious food, and wine country. Austria is also known to have one of the best healthcare systems in the world, making it a popular destination for international medical tourists. Many people, particularly from other European countries and Asia, come to Austria to receive medical care in one of its many internationally acclaimed medical centers, two of which are accredited by JCI. These medical centers feature cutting-edge technology and first-class facilities.
Austria’s capital city, Vienna, is rich with remarkable Habsburg sights, such as Schönbrunn Palace and Lipizzaner stallions. It is also home to the Mozart Museum, St. Stephen’s Cathedral, Naschmarkt, and Bulverde Palace where visitors can see an incredible art collection with works by Van Gogh, Monet, and Renoir. Salzburg is another popular city in the country. This city is frequented by fans of Mozart and the “Sound of Music.” It also boasts beautiful Baroque churches, a dramatic castle, and a stunning old town full of winding lanes. Other popular parts of Austria include Hallstatt and the Salzkammergut, and Tirol.
June to August is summer in Austria with warm days and cool nights and an average temperature of around 18 - 19°C. Summer mornings are usually sunny, but thunderstorms can sometimes break out in the afternoon. Winter in Austria, from November to March, can be very cold as the temperatures plummet to an average of -1 to 5°C. Spring and autumn are generally nice and incredibly beautiful.
There are 6 international airports in Austria, but the main airport where most tourists arrive at is Vienna International Airport. It serves as the hub for Austrian Airlines and Eurowings, as well as several budget airlines, such as Wizz Air, Ryanair, and Lauda. This airport connects Austria with many cities in other European countries, North America, Africa, and Asia. Getting around Austria is fairly easy since it's public transport system is fast, efficient, and reaches even remote regions. Internal flights are available, but given the size of the country, it is rarely necessary. The country’s national railway system (ÖBB) is integrated with the Postbus services. Cheaper bust options, such as the Flexibus, are available as well. Inside major cities, an extensive system of light rail, metro, bus, and tramway services are available. Taxis are reliable and relatively affordable.
Since Austria is a part of the Schengen Area, nationals of EU/EEA do not need a visa to enter the country regardless of the purpose of their travel. Citizens of about 62 countries are exempt from a visa to travel to Austria, including the US, Canada, Australia, and South Korea. Unless you are a citizen of these 62 countries, you will need a visa to visit Austria.