Know the liver transplant hospitals in Hyderabad for
Liver Transplant surgery is one of the most
crucial surgeries performs in human body. This operation needs expert skilled
team of doctors and well equipped operation theatre along with blood bank
facility.
Our center comes under the best
hospital in Hyderabad. Our center is pleased to provide this
article that details our experience in the orthotopic liver transplantation
technique. The side-to-side cavocavostomy technique, which has become our
preferred technique for vena cava reconstruction at the time or orthotopic
liver transplantation. This article is primarily intended for those who are looking
for liver transplantation. We originally began to use the side-to-side
cavocavostomy technique as a response to hepatic outflow problem's that we saw
on occasion with either the bicaval or piggyback technique of vena cava
reconstruction. We have found that the technique is easy to perform, and has
been associated with excellent outcomes, including the elimination.
Our center is one of the best liver
transplant hospitals in Hyderabad.
Vena cava reconstruction and orthotopic liver
transplantation are typically performed with the use of a venovenous bypass.
The piggyback technique has become popular because of the ability to avoid
caval disruption and the need for a bypass. Both of these techniques can be
associated with a difficult exposure while performing the caval anastomosis,
especially in the case of obese or deep recipients, or a relatively large
allograft. IVC or hepatic outflow stenosis may be associated with allograft
loss and significant patient morbidity. The difficult caval anastomosis may
lead to caval or hepatic venous stenos, a challenging clinical problem that may
be associated with graft loss and significant patient morbidity.
Besides, the higher prevalence of obesity among
current liver transplant recipients has increased the technical challenges of
caval exposure. For this reason, since July 2007, the besthospital in Hyderabad has adopted a side-to-side cavocavostomy as
our preferred method of caval reconstruction in liver transplantation. We
believe this technique allows us to avoid caval disruption and augment hepatic
venous outflow. We hope the following article emphasizes these advantages for
our concern to reach out better.
1) Back table preparation of the donor's liver
for the side-to-side cavocavostomy proceeds in a standard manner.
2) Particular attention is made to cleaning off
the posterior aspect of the vena cava, where the cavotomy will be
located.
3) Adequate length of both the supra and
infrahepatic cava should be cleared, such that each end may be stapled
closed.
In the best liver transplant
hospital in Hyderabad, the recipient operation begins in a
standard manner. We generally prefer a bilateral subcoastal incision, with
midline extension when necessary. Here we utilize an Omni retractor to
facilitate exposure. We believe this technique, along with the temporary
internal Billary stents, had lead to a decrease in our post-transplant Billary
complications. We believe that the adoption of the side-to-side cavocavostomy
has led to an improvement in our post-transplant outcomes. Other potential
benefits that we are currently investigating include an apparent decrease in
perioperative renal injury and a potential improvement in Billary outcomes. We
also find that the anastomosis is easiest to perform from the left side of the
table. Despite severe challenges solutions and prospects are on the horizon.
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