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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 Kuala Lumpur 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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Kuala Lumpur is the capital city of Malaysia and often cited as the Food Capital of Asia. The city is modern on one hand and at the same time exhibits a rich cultural legacy.
Recognized globally, Kuala Lumpur is fast becoming a favored choice for medical tourism. Many individuals making the journey to this bustling metropolis can expect to conserve anywhere from 60% to 80% in medical expenses compared to the astronomical fees seen in the United States. The appeal doesn't end at affordable prices, the city's hospitals are reputed for their outstanding post-surgery care, ensuring patients feel comfortable and well-looked after. Supplementing the exemplary healthcare, these hospitals offer luxurious accommodation comparable to a five-star hotel suite, signaling a new standard for medical facilities worldwide.
Here is why Kuala Lumpur scores high in medical tourism.
Medical procedures including breast augmentation, varicose vein surgery, laser eye surgery, dental procedures, fertility treatments, oncology treatments and spinal surgeries are highly demanded in Kuala Lumpur. With state-of-the-art facilities, hospitals notably Pantai Hospital, HSC Medical Center, and Sikarin Hospital lead in providing these sought-after services.
Additionally, distinct local clinics situated in and around Kuala Lumpur, such as Dr. Cheong Plastic Surgery Clinic and KTOP Clinic, are particularly renowned in the field of breast augmentation. These institutions, aptly combining professionalism with empathy, embody the heightened standards of medical care in the city.
This city boasts a plethora of iconic attractions, spanning both naturally occurring wonders and impressive manmade structures:
In this city, residents and tourists alike encounter a tropical climate. Its persistent heat and humidity manifest in daily temperatures that typically fall between 29 and 35 degrees centigrade. Nighttime brings a touch of relative coolness, as temperatures drop to roughly 26 to 29 degrees centigrade.
While post-rain chills can occur, the city remains largely resilient to the monsoon winds coming from both the west and east. These sporadic showers pose minimal inconvenience as the city boasts well-structured covered walkways. A variety of indoor recreational complexes, inclusive of massive malls, guarantees an enjoyable pastime that doubles as shelter from the rain.
Getting around in Kuala Lumpur
The standard of public transportation within the city is second to none. A comprehensive network of buses and subway lines ensures swift and comfortable travel throughout the city, with affordable taxis providing an alternative for both longer and shorter journeys.
Showcasing their discipline, taxi drivers adhere meticulously to all road traffic rules and signs. For visiting tourists, the Hop-on-Hop-off service proves a favorite, offering a convenient tour that traverses the city, accompanied by an informative radio guide.
Tourist Visas in Kuala Lumpur
Citizens of 35 countries and the citizens of Commonwealth countries, including British protected citizens, Citizens from Ireland, Netherlands, Switzerland, San Marino, and Liechtenstein do not require a visa to enter Malaysia for up to 90 days.
Citizens of India, Bangladesh, Sri Lanka, Pakistan, and other countries will need to obtain a visa in advance before entering Malaysia. Visas can be obtained online or at a Malaysian embassy or consulate.
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