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Sunday, February 17, 2008

Follow up after liver transplantation

Once a major surgery like liver transplant takes place, a lifelong follow up is required.

The first visit to the hospital is usually recommended after one or two week.. However if there is any fever or discharge from the wound or if the patient feels unwell for any other reason they would be advised to report back to the hospital immediately. A contact telephone number of the unit should be kept handy in event of the necessity to contact either the doctors or the unit nurse.

During the first visit the doctor would examine the wound and remove the surgical sutures (stitches) if it has healed properly. Any problems faced by the recipient after surgery can be discussed with the doctor at this time. Subsequent visits are scheduled at the end of one month, 2 months, 3 months, 6 months, one year 18 months and so on for life long During these visits blood tests to check the liver and the general state of health, ultrasound scans and x-rays would be undertaken. The immunosuppressant dosage would also be altered - either decreased or increased. However in the long run the dosage is gradually brought down.

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