About the Doctor
Dr. Vijay Vohra has more than 35 years of experience in Anesthesiology after his qualification. He headed the team that established Liver Transplant Anaesthesia and Critical Care at two major centres in India- Sir Ganga Ram Hospital and Medanta- The Medicity. He also has 5 years of experience as the Vice-Chairperson in policy making and running a large department of 40 anaesthetists at Sir Ganga Ram Hospital. He has imparted training in Transplant Anaesthesia to visiting / fellow anaesthetists and intensivists from 26 centres within India and abroad in the last 10 years. He also has an experience of over 1500 liver transplants. He was the First in India to develop and introduce hemodynamic and coagulation monitoring protocol for bloodless liver transplant. He headed the anaesthesia team that participated in all the firsts of liver transplants in India. He has been a reviewer of Journal of Clinical Anaesthesia, Journal of Anaesthesiology and Clinical Pharmacology, Journal of Clinical & Experimental Hepatology.
Specialization
- Liver Transplantation
- GI Surgery
- Laparoscopic Surgery
- Bariatric Surgery
Awards
- Distinguished Service Award in Cardiac Surgery, Government of India, 2002
- Achievment Award for starting the cardiac surgery programme in Norvic Hospital, 2002
- Gold medal for best scientific publications by Cardiologist Society of India, 2001
- Distinguished Services Award for starting the cardiac surgery programme in Jammu Medical College, 2001
Frequently Asked Questions About Liver Transplant
What is the procedure for proceeding with liver transplant?
You should seek an appointment with Dr Soin who will assess the need for a transplant, your fitness for it and counsel you regarding all aspects of the procedure.
If a transplant is thought suitable, you will then need a suitable donor from the family. The other option is to wait for a cadaveric organ (organs donated voluntarily by families of brain dead patients before artificial life support is withdrawn) but that wait can be very long since the cadaveric organ donation rates in India are very low.
Who can be a liver donor?
For living donation, the person must be a close relative aged between 18-55 years, have a matching blood group, and weigh between 50-90kg (but not fat).
What is the success rate of liver transplantation?
The success of the transplant procedure depends on the expertise available at a given centre. In most well established centres across the world including Dr. Soin’s Unit at Medanta Institute of Liver Transplantation, Gurgaon, when a liver transplant is performed before the patient becomes too ill with liver disease, it is successful in more than 90% patients and gives an excellent quality of life with a normal life expectancy for age.
How Long Would Surgery Take?
Liver transplants usually take from 4 to 14 hours. During the operation, surgeons will remove your liver and will replace it with the donor liver. The surgeon will disconnect your diseased liver from your bile ducts and blood vessels before removing it. The blood that flows into your liver will be blocked or sent through a machine to return to the rest of your body. The surgeon will put the healthy liver in place and reconnect it to your bile ducts and blood vessels. Your blood will then flow into your new liver. Because a transplant operation is a major procedure, surgeons will need to place several tubes in your body. These tubes are necessary to help your body carry out certain functions during the operation and for a few days afterward.
What Complications Are Associated With Liver Transplantation?
Two of the most common complications following liver transplant are rejection and infection.
Can I Go Back To My Daily Activities?
Certainly. After a successful liver transplant, most people are able to go back to their normal daily activities. Getting your strength back will take some time, depending on how sick you were before the transplant. Your doctor will be able to tell you how long your recovery period is likely to be.
- Work- After recovery, most people are able to resume work.
- Diet – Most people can go back to eating as they did before. Some medication may cause weight gain, others may cause diabetes or a rise in your cholesterol. Meal planning and a balanced low-fat diet can help you remain healthy. Transplant patients have a tendency to gain weight because of their retention of water. They are advised to lower their intake of salt to reduce or eliminate this water retention.
- Exercise – Most people can engage in physical activity after a successful liver transplant.
- Sex – Most people return to a normal sex life after liver transplantation. It is important for women to avoid becoming pregnant in the first year after transplantation. You should talk to your transplant team about sex and reproduction after transplantation.
