If you are a suitable blood type and are wishing to be considered as a living liver donor for your relative, you can contact the transplant coordinator on the telephone number and discuss living liver donation or schedule an appointment to meet in the hospital. Registration details can be taken over the phone and a hospital record created for you.
An appointment with the transplant coordinator and Transplant Surgeon, Dr. Faisal Dar will be arranged. The transplant coordinator will perform a health screen and provide an opportunity to ask questions. The transplant coordinator will inform you of the potential risks and benefits of living donation and what the evaluation process involves. The potential risks of donation and the possible outcomes of the donor evaluation will be discussed. The potential donor can stop the evaluation or withdraw from the process at any time right up to the donor surgery.
The surgeon will take a brief medical and surgical history and examine your abdomen. The surgeon will discuss living donor liver transplantation with you, including the potential risks and the statistics on the procedure at our hospital and worldwide. The surgeon will discuss the chances of a donation being successful in each individual case.
The transplant coordinator will get you to sign a consent form if you are still intending to be assessed as a living liver donor. The followings tests will be done at this stage:
- To check the function of your liver
- To check the ability of your blood to clot
- To see if you are anemic (low hemoglobin)
- To assess the function of your kidneys
- To check the level of oxygen in your blood
- For viruses – including Hepatitis B, Hepatitis C, Cytomegalovirus (CMV) and the HIV virus.
Chest x-ray: to ensure you have no lung problems
ECG / echocardiogram: to assess the function of your heart
Pulmonary function tests: breathing tests which provide a detailed assessment of your lungs
Scans: ultrasound of the abdomen will be requested. The blood tests will be reviewed and then the second step of the assessment will be booked.
The second step of evaluation.
This will include computerized tomography (CT) of the liver to enable calculation of the volumes of the right and left lobes. Magnetic resonance imaging (MRI) will be needed to look at the liver structure. These tests will provide information on the supply of blood to and away from the liver.
A Consultant Hepatologist will interview you. Other tests and consultations may be required depending on your results. For example, if your pro-coagulation screen (clotting profile) is abnormal you may be required to see a Consultant Hematologist for specialist advice regarding the suitability to donate, and any special precautions that may be advisable. A second example may be if you have been found to have hypertension (high blood pressure) a Consultant Cardiologist may be requested to review the donor for expert advice. The Consultant Hepatologist will make the decision if a liver biopsy is necessary.
The transplant coordinator will provide further counseling surrounding the donation surgery. Again the risks associated with the living donation will be discussed. Potential complications that the recipient may encounter including rejection, primary non-function, biliary complications, vascular complications, and the long-term side effects of immunosuppression will also be discussed. The possible after-effects following donation and the recommended convalescence period and long-term complications for the donor are discussed. The consultant anesthetist will discuss the anesthetic and pain relief postoperatively.