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PEDIATRIC LIVER TRANSPLANT What is liver transplant? Liver transplant is the replacement of the diseased liver with healthy liver from another individual. It is a valid treatment option for end stage liver disease and acute liver failure. In pediatric liver transplant there is replacement of diseased liver of a hild. Liver transplantation has become an accepted standard of care in the treatment of a child with failing liver. Though this surgery is not indicated if other treatment alternatives are available or if certain contraindications are present.

Let us first discuss the indications for this surgery :? The most common indication for liver transplantation is iliary atresia? It is a disease of the liver in which one or more bile ducts are abnormally narrow Andrew Shaw Jersey Youth , blocked or absent.

The second most common indication is etabolic disorders,ungs and deposition of abnormal proteins in liver cells.

Other less frequent indications are congenital hepatic fibrosis, postnecrotic cirrhosis, malignancies Robin Lehner Jersey Youth , neonatal hepatitis.

Contraindications of liver transplantation ?- If other treatment alternatives are present, or certain malignancies, poor prognosis or outcome of the surgery.

Selecting a candidate for transplantation The appropriate time for surgery is when the child begins to show signs of fatigue, decreased activity level. Once the liver transplant is taken into consideration proper patient evaluation is done by a team of hepatologists(liver specialists) Olli Maatta Jersey Youth , transplant surgeons, nurses, psychologists, transplant co-ordinators. Once a pediatric patient is found to be a suitable candidate for a liver transplant the patient name is placed on the waiting list Brandon Saad Jersey Youth , but in most cases in our country especially, the donor is mostly from the family or a relative. The donor should be healthy, not obese, between 18 to 55 years of age. Most importantly either heshe should have the same blood group as the patient or should besitive.

Technique and Post- procedure care

The surgery is performed in general anaesthesia. Most commonly Artem Anisimov Jersey Youth , liver transplants are performed orthotopically, meaning the new liver is placed in the same location as the diseased liver. The diseased liver is removed which is the most crucial part and can take several hours. The donor liver is then implanted, this implantation requires re-establishment of blood flow to the liver. After this is achieved the surgical part is complete and the patient is kept on ventilator for the next 24-48 hours and is constantly monitored. The patient is moved out of the pediatric ICU in a couple of days depending on hisher recovery. Oral intake can begin within the week following surgery. Prior to discharge follow up care and medication instructions are given. The possibility of rejection and it signs and symptoms are discussed with the parents. The patient is instructed to continue with rehabilitation program which includes exercise, following a proper diet Alex DeBrincat Jersey Youth , and taking the prescribed medications.

Problem associated There are certain problems associated with this surgery, firstly the lack of donor. Secondly, due to infection or graft rejection the patient can die. There is always a risk of complication during or after surgery.

Outcome The majority of the children lead a normal and healthy life after this surgery, but yes lifelong the child will have to take the required medications. But this is a small price considering that death would be their fate without liver transplant.
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Little Know Tips to Improve Data Hygiene Processing Marketing Articles | June 29 Brent Seabrook Jersey Youth , 2010
Making use of industry best practices will always pay off because a company''s peers and competitors are setting the standard and validating the actions that become known across the industry leaders.?U...

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