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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 Poland 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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Poland, as one of Central Europe's most expansive nations, has only recently begun to make its mark as a key player in the realm of Medical Tourism. Being particularly appealing to tourists from neighboring regions, many visitors arrive seeking Liver Transplant (Living Related Donor) procedures. Poland's open border policy further simplifies travel between its territory and other countries within the European Union (EU), making it an accessible destination for many.
The Polish healthcare system comprises a blend of public and private establishments. While none of these facilities hold JCI accreditation, they are endorsed by local accreditations issued by the Polish Ministry of Health. Their recognition within the European Union testifies to the quality and reliability of these certifying bodies.
In Poland, the most frequently sought-after medical procedures encompass dental, cosmetic, orthopedic, and bariatric treatments. Impressively, the costs of these treatments are significantly lower than what one would expect to pay in Poland's Western European counterparts. Beyond Poland's vibrant capital, Warsaw, cities such as Krakow, Jelenia Gora, and Wroclaw have emerged as favored destinations among medical tourists.
Poland, with a population exceeding 38.5 million, is a nation steeped in rich history and recognized for its whopping fourteen UNESCO World Heritage Sites. Despite frequently being overshadowed in the realm of tourism, the country in reality, boasts of a multitude of alluring attractions waiting to be explored and appreciated.
Poland has a temperate climate and sometimes experiences rough weather. Spring starts in late March to May. The season is characterized by a wave of warmer weather with less frequent rain. It is one of the best times to visit Poland because the temperature is comfortable.
Poland's summer season extends from June until August and brings with it a certain unpredictability in weather patterns. The general climate is warm, with temperatures hovering between 18 to 30°C. Amidst sunny spells and elevated temperatures, frequent rain showers and storms are also common phenomena. This period marks the peak of the tourism season and tourists can expect prices to see a corresponding increase. Despite the occasional rains, summer promises a delightful time to experience Poland in all its warmth.
September to November is Autumn, the season where the temperature starts to drop. Late September and October are still warm, while November is cold and wet. Sunny days during this season are known as “Polish Golden Autumn.”
Winter in Poland, which runs from December until early March, can be exceedingly cold. Temperatures often tumble to an average range of 0 to -10°C and can even drop as low as -20°C. Despite the chilly conditions, this is actually the peak season for mountain ski resorts, attracting numerous enthusiasts to take advantage of Poland's picturesque winter landscapes.
Most international flights arrive at Warsaw Frederic Chopin Airport. It’s Poland’s largest and busiest airport. The airport serves domestic and has International connections with many cities around the world. It is the hub for LOT Polish Airlines. Budget airlines such as Wizz Air and EasyJet also operate flights from this airport. There is a smaller airport, Warsaw Modlin Airport, which handles more budget airlines.
To get to the city center, bus, taxi, and train are available. There are five public buses that stop at Warsaw’s city center; bus 175, bus 188, bus 148, bus 331, and bus N32 (night bus). Taxis are available, but always make sure to use licensed taxi services. The fare from the airport to the city center is around 40 PLN. Chopin Airport is linked to Legionowo and Sulejówek Miłosna by a railway service. Tourists can buy ZTM tickets to ride the bus and train which can be purchased at the Passenger Information Point in the arrivals hall, ticket machines at bus stops and train station entrance, or from bus drivers.
Ample public transportation options simplify getting around in Poland. Trains, in particular, offer an incredibly budget-friendly means of travel. For instance, the journey from Krakow to Warsaw is set to cost approximately 45 PLN and spans a duration of around three hours. Meanwhile, a slightly longer five-hour train journey from Warsaw to Gdansk can be undertaken at a reasonable fare of around 65 PLN. Such connectivity and affordability make exploration within Poland both easy and economical.
Within the cities, local buses in the central zone cost around 4 PLN (a single-fare ticket). Major cities offer one-day tickets for 20 PLN. Taxis are relatively cheap and tourists can get around the city quickly. Taxis are metered and usually start at around 6 PLN to 8 PLN. Unlicensed taxi drivers are most likely to cheat and charge more. There are taxis that put a fake phone number in their cars, be careful and ask your hotel staff for the number of the taxi company they have used previously. Cycling is a good way to explore the scenery in Poland. There are many bike rentals around the country, always be aware of drivers since some are careless.
For cities like Krakow, tourists are highly recommended to secure tourist cards. These cards provide unlimited access to public transportation for a period of one to three days. In addition, they also offer free or discounted admission to several museums. This is a great bargains that grants tourists flexibility and sizable savings to fully relish their visit.
Poland is part of the Schengen Area. Citizens of the United States, Canada, Australia, New Zealand, Japan, Israel, and several other countries do not need to obtain a visa and can stay in Poland for up to 90 days. EU citizens do not need a visa and can stay indefinitely. Other nationalities must check with their local Polish embassy. All visitors must hold a passport valid for at least six months.
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