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Saturday, May 2, 2009

Types of Liver Transplantation

There are two options for liver transplantation:

  • Cadaver donor transplantation
  • Living donor transplantation.
C adaveric liver transplantation :

Here the liver of a brain dead person is used for transplantation whose family volunteers to donate his / her liver for transplantation.

Living related liver transplantation :

This has been a further step to answer the shortage of organs for children. In living related liver transplantation, a part of the liver from a living related donor is used in the child. In India , the human organ donation act was passed in 1984. The donor has to be spouse or first degree relative or emotionally related to the patient. In India , presently cadaveric donation has not gained momentum and majority of transplants, whether renal or liver are living related.hioption f liver transplant:

Auxiliary liver transplant :

Auxiliary liver transplant is used in occasional patients. In auxiliary liver transplant a part of the donor liver (usually segments 2+3) is implanted beside or in continuity with the native liver( patients own liver). The main purpose of this form of liver transplant is to ensure that the native liver is retained in the event of graft failure or for the future development of gene therapy. Auxiliary transplant is now accepted therapy for Criggler-Najjar syndrome type I and also for propionicacidemia and ornithine transcarbamalase deficiency. Its role in fulminant hepatic failure is more controversial.

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