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Mumbai: Brain dead donor saves woman’s lives

A consent given by the family of a brain dead man to donate his liver has saved the life of 46-year-old Surat woman who was suffering from Polycystic Liver Disease (PLD) leading to an enlarged liver and liver failure.

The doctors at Global Hospitals, Parel, successfully removed a woman's liver weighing 7 ½ kilogram and 40 cm in size and transplanted the healthy liver from a deceased donor.

The patient, a resident of Surat, had severe abdominal pain, bloating, and discomfort for 15 years. She was unable to lead a normal life.

The patient was detected with PLD and was listed for a cadaveric liver transplant. Her condition worsened further as her liver enlarged and multiple cysts expanded the liver. It led to expanding abdominal girth.

Dr Gaurav Chaubal, Director of Liver, Pancreas, Intestine Transplant Program, and Hepato-Pancreato-Biliary surgery at Global Hospitals, said, “The patient‘s health had deteriorated when she visited me. Her liver function was low owing to liver failure due to Polycystic Liver Disease (PLD). It is a rare, inherited condition leading to benign (noncancerous) cysts.

“The incidence of polycystic liver disease (PLD) is around 1 person per 10000. Usually, Polycystic Liver Disease (PLD) doesn’t require a transplant. It is only needed in very few cases when the liver size is huge and there is liver failure. It was essential to perform a timely transplant on her as liver failure if not treated in time can have potentially lethal complications,” he further said.

Dr Chaubal added, “When we did the open laparotomy, an enlarged liver weighing 7 ½ kg and 40 cm in size that is 1 ½ feet wide was found. This is the largest explant that has been removed across India and we replaced it with the healthy liver from the deceased donor. The patient recovered well and was discharged in two weeks.”

“The operation was challenging as the size of the liver was huge and if the explant was not removed as a whole, chances of patient bleeding profusely and dying were very high. The availability of state of art OTs and post operative ICUs along with the technical expertise is necessary to ensure smooth recovery of the patient,” Dr Chaubal explained.



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