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Liver Transplantation

Liver Transplantation

Paediatric Liver Transplantation

Liver transplantation has now been recognized safe and successful procedure not only for end stage liver diseases but also various liver based metabolic disorders and hematological problems. Liver disease in children differ from adults in terms of   by aetiology, and management and requires a dedicated team of paediatric liver transplant surgeon, Paediatric hepatologist and intensivist for successful short and long term out come.

The use of innovative surgical techniques has allowed the application of liver transplantation to even very young infants with excellent results. Due to the requirement of small liver graft, living donor liver transplantation is a safe and effective alternate to cadaveric graft as it provides good quality liver grafts at appropriate time.

Paediatric Liver Transplant

Highly specialised liver transplant surgical performs all paediatric liver transplants. The liver transplant team consists of four senior Consultants headed by Prof Mohamed Rela.

Prof. Mohamed Rela is the moste accomplished hepatobiliary, pancreatic and liver transplant surgeons in the world. Begining his career as a surgeon in Chennai 22 years ago, he has now worked for over 15 years in th field of hepatobiliary (HPB) surgery and liver transplantation, and has personally done around 1200 liver transplants till now.

He has worked in the largest Liver Transplant Program in Europe at King’s College Hospital, London, Uk since 1991. He also heads the paediatric liver transplant program at Kings and is the Lead Clinican for hepatobiliary and pancreatic surgery.

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PROF. DR. MOHAMED RELA MS, FRCS, DSc

Chairman & Director,
Dr. Rela Institute & Medical Centre, Chennai, India.
Professor of Liver Surgery and Transplantation in King’s College Hospital, London.
  • Prof. Mohamed Rela is a poineer in liver transplantation with over 28 years of experience. He started the “Institute of Liver disease and transplantation at Global Glenegales health city in 2009. It has quickly become the largest liver transplant program in India. Since inception the program has performed more than 1500 liver transplantation in India. He is also a professor of liver transplantation surgery at Kings College Hospital, London.
  • Prof. Dr. Rela has moved from Global Glenegales group of hospitals and started “Dr. Rela Institute & Medical Centre“. His vision is to address health care issues of local population with facilities of International standards also provide cost effective high end treatments like Multi-Organ Transplantation.

Accomplishments

  • Prof. Dr. Mohamed Rela is one of the most accomplished surgeons in the world in this field with over 400 scientific articles and papers on liver transplantation, complex hepatobiliary pancreatic surgery and more.
  • Prof. Dr. Rela has performed over 4000 liver transplant surgeries.
  • In December 1997, a team led by him performed a successful liver transplantation on a five-day-old girl, which made him an entry into the Guinness Book of World Records in 2000. The girl is now 20 years old studying law.
  • He has pioneered the technique of split liver transplantation where one cadaver liver is split into two and transplanted into two individuals.
  • He is also one of the most Innovative Paediatric Surgeons alive as per an article published by “Top Master’s in Healthcare Administration”.


The Liver Transplant Process at Dr Rela Institute & Medical Centre

First Step

  • Patients will meet the hepatologist (liver specialist).
  • Will meet the transplant coordinator and learn about the transplant process.
  • Verify any insurance benefits and financial status with finance advisor.
  • Complete the transplant assessment and work up.
  • Meet with the social worker to prepare patient to cope throughout the transplant process.
  • Meet with the dietitian to optimize nutritional state.
  • Meet the transplant surgeons to review the operation and care after the transplant.
  • Become listed and place on wait list (for cadaver) after evaluation is completed, or proceed with liver donor work up and plan for transplant surgery as appropriate. ( Not applicable for international patients)

The Transplant

  • Patient would be admitted a day prior
  • At discharge the nurse coordinator, dietitian, social worker, pharmacist, and physical therapist along with the hepatologist, will advise the patient proper care of the new liver.

Follow Up

  • As directed through clinic appointments.
  • Patients from far will have to stay in and around the transplant centre for at least 3 months.
  • Addressing any questions or concerns.
  • Patients can sign up for one year unlimited phone service and visits to the centre.

Our program offers both adult-to-child and adult-to-adult (including right lobe) living donor liver transplants, with very good donor and recipient outcome.

Donor Selection:

  • Only related donors would be evaluated. The patient’s family are asked to identify potential donors with compatible blood group, sometimes even two or three, who are then thoroughly evaluated. Advanced CT scanning is done for all potential donors to assess their liver anatomy in detail. Once a donor is identified, detailed counselling is done before they are taken up for surgery.
  • Living donor transplants are very useful in certain urgent situations such as those with acute (fulminant) liver failure or those with cirrhosis of liver who develop tumors, as the availability of cadaver organs may not always be possible. Living donor transplants are also good option for children as one of the parents can usually donate and only a small portion of their liver may be required.
  • Our program at Dr Rela Institute & Medical Centre has a highly skilled surgical team to perform living donor transplants very safely and successfully.