About the Doctor
Dr. Arvinder Singh Soin leads India’s largest and one of the world’s most successful liver transplant programs at Medanta – The Medicity. Dr. Soin and his team is renowned for their 95% success rate, performing almost 25-30 successful transplants a month. His vast experience includes over 2500 liver transplants, which is the highest in the country. Over his 21 years, Dr. Soin has also performed more than 12000 other complex liver, gall bladder and bile duct surgeries, & is renowned for his pioneer work in establishing liver transplantation in India. He is responsible for training most of the liver teams in the country.
Specialization
- Liver Transplant
- Liver Surgeries
- Choledochal Cyst
- Portal Hypertension
Awards
- RD Birla, 2011
- Swastha Bharat Samman, 2011
- E- medinews award, 2011
- Achievements listed in Limca Book of records, 2007, 2008, 2009,2010
- DMA Award, 2010
- Padma Shri, 2010
- Medindia Oration and Medindia Award, 2008
- DMA Distinguished Services Award, 2005
- Awarded Visiting Fellowship at the Kyoto Liver Transplant Unit British Transplantation Society Bursary, 1997
- Awarded research grant from the Royal College of Surgeons, Edinburgh, 1996
- Awarded British Transplantation Society Bursary, 1994
- Ranked first in All India selection exam, 1990
- Best Postgraduate Student in Surgery medal at AIIMS, New Delhi, 1989
- Best Student in Surgery medal at AIIMS, New Delhi, 1985
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for a cadaveric organ (organs donated voluntarily by families of brain dead patients before artificial life support is withdrawn) but that wait can be very long since the cadaveric organ donation rates in India are very low.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.
