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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 Bulgaria 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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Bulgaria has plenty to offer and tourists are going to be very impressed with the country’s mountainous landscapes, beautiful Black Sea beaches, fascinating history, friendly locals, lively nightlife, and affordability. Although the country’s holiday tourism is very much on the radar, it is also actually quite popular with medical tourists, due to its modern medical centers, highly trained medical professionals, state-of-the-art equipment, affordable healthcare, and mineral baths, thousands of medical tourists visit this country each year. Most of the medical tourists come for dental treatment, orthopedic surgery, elective surgery, neurosurgery, as well as health screening.
Bulgaria’s laid-back capital city, Sofia, is truly a must-visit. It is full of museums, Ottoman mosques, communist architecture, chic galleries, Eastern Orthodox churches, amazing restaurants, and upbeat clubs. One of the most popular landmarks in the country is the Aleksander Nevski Cathedral, which is an awe-inspiring church built between 1882 and 1912 to honor 200,000 Russian soldiers who died fighting for the independence of Bulgaria during the Russo-Turkish war. If you want to relax on beautiful beaches visit Varna, which is a major tourist destination during the summer. The second-largest, city in Bulgaria is Plovdiv and it is one of the oldest continuously inhabited cities in Europe. Tourists are attracted by the Roman Amphitheatre, Archeological Museum, and Tsar Simeon Central Garden.
Most international tourists will arrive at Sofia Airport, which serves flights to most numerous major cities in Europe and the Middle East. There are several budget airlines that operate flights from this airport, including Ryanair and Wizz Air. Domestic flights are available, but they tend to be expensive. Therefore, to travel from one city to another, trains and buses are the best option. Buses and trains are punctual and affordable. However, if you are in a hurry, you should avoid trains as they can be a little slow. To travel around big cities, taxis are widely available and are really cheap. Just make sure you choose a licensed taxi to avoid being overcharged.
While Bulgaria is not yet a part of the Schengen Area, it has a visa policy that is based on the Schengen system. Therefore, holders of Schengen Visa are allowed to enter the country. Additionally, citizens of 62 countries, including the US, Australia, and the UAE, can stay in the country for up to 90 days without a visa.
From June to August, Bulgaria experiences summer. The weather can get a bit hot and humid, with an average temperature of 19°C to 21°C. July is the wettest month in the country. Winter, from December to February, is usually freezing. Autumn and Spring bring pleasant weather.