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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 Guadalajara 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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Guadalajara is the second-largest city in Mexico and lies at the heart of the Mexican state Jalisco. The City takes great pride in being the Silicon Valley of Mexico due to the phenomenal growth of its infrastructure, economics, technology, and software in the last three decades. The city is also rich in tradition, culture, and history. It is also home to the world’s famous tequila and mariachi festival
Mexico is also a popular destination for medical tourism. It has more than a dozen cities and border towns specializing in medical care. Guadalajara is one such city and is largely visited by medical tourists from across the world. In particular, a large number of Americans cross the border to seek medical assistance. Low medical cost is the main reason behind the City's immense popularity and makes Guadalajara an ideal destination for medical tourism. Bariatric surgery is 70% cheaper than in the USA and dental procedures are 60% less expensive.
The world-class hospitals in Guadalajara offer a wide range of medical services including general surgery, plastic surgery, infertility, stem cell therapy, pediatrics, oncology, and orthopedics. The highly qualified doctors and nurses provide the highest level of care, service, and hospitality and are also well versed in English. Guadalajara is not only a perfect choice for medical treatments and procedures but also the best spot for recuperation.
Salutaris Medical Center, San Javier Hospital, the fertility institutes, OLA Obesity & Advanced Laparoscopic Surgery Clinic, and the Mexico Americano are some of the better-known hospitals in Guadalajara. They have access to the latest medical procedures and cutting-edge technologies.
The Metropolitan area of Guadalajara houses approximately 5 million people. The city has a handful of safe and trendy neighborhoods. You will find a large population of expatriates in areas like Providencia, Lake Chapala, Ajijic, Chapalita, Chapultepec, and Zapopan. The neighborhoods have many upmarket restaurants, bars, cafes, boutiques, and authentic Mexican food stalls. Lake Chapala is a picturesque lake, from where you can take a cruise to the beautiful island of Scorpio.
Guadalajara has a warm and moderate climate. The City’s elevation ensures cooler evenings. The weather is spring-like for most of the year. Guadalajara's average temperature is 19.5°C. The average annual rainfall is 941 mm. During the month of August, the City receives a generous amount of rainfall.
March is the driest month of the year with little to no precipitation at all. The warmest months of the year are April, May, and June and the temperature can reach 35°C.
December and January are cooler with an average temperature of 25°C. The temperature may fall too even 5°C during the nights. If you are planning to visit the City during the winter, then pack suitable warm clothing to withstand the cold.
Located 16 km away from the city center, is Guadalajara International Airport. It is Mexico's third busiest airport. The airport handles cargo flights and domestic flights to other Mexican cities and the USA. Wider transport options are available to cater to the needs of the locals and the tourists. The city is well connected by various modes of transportation.
A valid tourist visa is essential to visit Mexico. Citizens from countries like India, Russia, and China should apply for a Mexican Tourist Visa, 28 days before the date of entry. You should also submit copies of your travel tickets. Visa fee may cost you approximately USD 22 but this is subject to change from time to time.
Mexico provides visa exemption to the citizens of 67 nations. Citizens of Canada, USA, Denmark, Germany, Switzerland, and Japan can enter Mexico without a valid tourist visa and can stay for a period of 6 months.
You can even extend your stay by providing the required documents before your visa expires.