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Question
would the donor, my sister, in transplant be safe, or, is there any kiind of danger.
Submitted: 22 days and 17 hours ago.
Category: Health
Value: $9
Status: CLOSED
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Posted by
Susan Ivy
22 days and 17 hours ago.
Answer
Hello XXXXXXXXXXXX, Thank you for writing to JustAnswer Health with your question. All surgeries have a certain degree of danger. Her doctor and anesthesiologist will explain any dangers in detail, and your sister will at some point be given this information in writing and she will have to decide to sign it or not to sign it. The real danger depends on things like her health and nutrition, as well as on the type of surgery. Certain surgeries may be more dangerous than others. When she undergoes the process of evaluation, she will have a test lab test to make sure that she is in a current state of good health. For example if it were found that she were anemic, it might be recommended that she overcome this first before the surgery (if she had simple anemia she would likely just need more iron, b vitamins or more iron containing foods in her diet). This link explains liver transplantation from the beginning of the process, and I think you will find it helpful: http://www.healthsystem.virginia.edu/uvahealth/adult_liver/livertrn.cfm If you have more questions though, please feel free to reply to me or write back with your question. Good luck!
22 days and 16 hours ago.
Reply
Thanks, but, what are the dangers: will her liver grow back, how long off her feet, will she need meds for life?
Accepted Answer
I'll get back with more specific details regarding her liver - but generally if she is completely healthy (not obese or with other illnesses or disorders), the dangers are the same as with any surgery - very rare reactions to the anesthesia; blood clots, pneumonia, and post op infection. To prevent the blood clots and pneumonia, which can occur again after any surgery, she should be instructed to take deep breaths and cough every few hours (helps keep the lungs open and prevents lung infection or pneumonia from setting in) and she should begin moving her legs every two hours and then get up and start walking as soon as she is instructed to after surgery (this prevents stasis or pooling of blood in the extremities and so prevents blood clots from forming in the legs or from breaking off and going to the lungs, brain or heart. It also helps weakness of the heart and muscles to occur, which can occur quickly if one lays in bed immobile). These are things you should be instructed to do as well as your sister after surgery. Additional things: Holding a pillow to the abdomen (incision site) is recommended when taking deep breaths and coughing (works as a splint), this helps keep the pain down when one coughs and moves, and takes the deep breaths. Also, it is important to receive pain medication as the pain begins, rather than waiting until the pain is very bad (if you wait until the pain is very bad, it takes more of the pain medication than it will if you get it before it gets really bad). Doctors and nurses are aware of this as this is a component of pain management which they are all taught, and initially both of you will recieve pain medication around the clock. After a few days though the pain may begin to decrease and you will be taken off the around the clock medications. So this is when you need to be aware of when to ask for the medicine. Of course by the time you leave the hospital normally you all will not need anything but a few times per day. I'll get back with your shortly about whether there will be any growth of her liver back (it would help if you would tell me her age and whether or not she is healthy) and averages of how long she will be off her feet (probably just a few days - but she may not be ready to return to work for a week or two - again - this depends on how well she does after surgery and this is predicted by how healthy she was before hand and whether or not she is able to do the deep breathing and getting up soon after surgery). She will not need any meds for life - only you will need meds for life to prevent rejection.
Edited by Susan Ivy on 10/29/2009 at 8:49 PM
Expert:
Susan Ivy
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Answered:
10/29/2009
Nurse (RN)
BSN, MSN, CNS
Posted by
Susan Ivy
22 days and 16 hours ago.
Answer
I found some very good references you may want to copy for your sister. For an adult person who donates liver tissue to another adult, the whole left lobe will be taken out. She will not return to work usually for 6 weeks (because this is a large organ to be removed, many vessels must be ligated - sewn shut). She will wake up in the ICU so that she can be monitored very carefully. This is a common precaution taken for any major surgery to the chest area. After two months, the liver regenerates! An article that answers all your questions in detail: http://www.livingdonorsonline.org/liver/liver5.htm Another web site with great details, and has an "introduction to liver donation" may be helpful as well: http://digestive-system.emedtv.com/liver-donation-surgery/liver-donation-surgery.html I think this and the last post should answer all your questions, but if you have more, please let me know.
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