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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 Morocco 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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Morocco is a popular destination, attracting culture lovers, backpackers, adventure travelers, couples, families, foodies, and more to its four imperial cities: Marrakesh, Fes, Meknes, and Rabat. Rabat is the current capital city. Although a modern city at first glance, it has several interesting historical attractions, such as the Kasbah of the Oudaias, the old medina, and the Hassan Tower. The gleaming Royal Mausoleum is also well worth a visit. Known as the Red City, Marrakesh is famous for its old medina, numerous souks, ancient palaces like Badi Palace and Bahia Palace, the striking Koutoubia Mosque, the energetic Djemaa el-Fna, and the Saadian Tombs. The former capital of Fes boasts plenty of stunning architecture, though it is perhaps most known for its large tanneries and for being home to one of the oldest universities in the world. Meknes has one of the most impressive monumental gates in all of Morocco, Bab el-Mansour. Horse-drawn carriages are a great way to explore the charming and relaxed imperial city. Morocco has beaches along both the Mediterranean Sea and the Atlantic Ocean. Popular holiday spots with foreign visitors include Tangier and Agadir, while Asilah attracts mainly locals and Spanish visitors. The vast Sahara Desert is the world’s largest hot desert. There are several places in Morocco from where you can begin expeditions into the desert, and there are plenty of experienced operators offering trips to remember.
The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Liver Transplant (Living Related Donor) procedures. Medical Tourists travel from all across the globe, particularly from neighboring African countries with an inferior healthcare system. Casablanca and Marrakesh are the popular cities and they mostly cater to dentistry and plastic surgery requirements
Morocco, with a population of over 35 million people, is known to be magical and chaotic. The country is very diverse, from Saharan Dunes, High Atlas, ancient medinas, friendly locals to traditional life; Morocco has everything for every tourist.
Morocco’s climate is generally moderate and subtropical with cool breezes from the Atlantic and the Mediterranean Sea. Temperature varies greatly depending on region and altitude. Summer lasts from June to August and is often really hot. Winter comes in November and ends in January. It is the wettest and coldest season in the country. The best time to visit is in Spring and Autumn where the weather is warm and pleasant.
The coastal regions have nice weather throughout the year, the Winter has mild temperature and although the temperature will rise in the Summer, it’s not too hot. The High Atlas Mountains can be visited all year round but the winter can get really cold. There will be snow on the peaks during Winter. The summer can be a little too hot for any long-distance hike.
Morocco’s main gateway is Casablanca's Mohammed V International Airport. The airport is located in Nouaceur Province and is the busiest airport in the country. It is the hub for Air Arabia Maroc, Royal Air Maroc. It serves domestic and international flights to and from many cities in the Middle East, Europe, and America. Major and budget airlines operate flights from this airport. Other important airports include Menara airport in Marrakesh, Fes–Saïss in Fez, Ibn Batouta International in Tangier.
There are several options for tourists to travel to downtown Casablanca. Buses are affordable, a single ticket costs 20.00 MAD. It will take around 45 minutes to get to the city center. There’s also a bus line that will take tourists to Rabat.
Casablanca Airport has an underground train station that connects to Mers Sultan, Casa Port, Casa-Voyageurs or L’Oasis. The total trip time to downtown Casablanca is 45 minutes. The trains operate from 06.00 am to 10.00 pm.
Taxis are the most convenient mean of transportation, but they’re also more expensive than trains and buses. The base fare is around 250.00 MAD to 300.00 MAD (25 to 30 USD). Always avoid non-authorized taxis because they are known to overcharge. Refuse to board a taxi with broken or turned off meters. Remember that Casablanca official taxis are painted in white.
The most efficient and affordable way to get around Morocco is by the intercity buses. The most popular operators are Supratours, CTM, SATAS, and Ghazala. A ride from Marrakesh to Casablanca is around 4 hours and should cost 90 MAD (9 USD).
Morocco’s national rail network is operated by ONCF and connects major cities like Marrakesh, Casablanca, Fez, and Rabat. The trains are usually on-time and comfortable. First-class tickets cost about 45 MAD (5 USD) per hour and the second class tickets cost around 30 MAD (3 USD).
Citizens of Australia, New Zealand, Canada, the United States, the European Union, Britain, Japan, and South Africa do not need a visa to enter the country. Citizens of 66 countries can enter and stay in Morocco for up to 90 days. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance.
It is recommended to check the current regulations with the Moroccan Embassy or Consulate in your country. All visitors must hold a passport valid for over 6 months at the entry date.