Amidst COVID-19,doctors bring patient back to life after successfully performing a complex Liver Transplant

BGS Gleneagles Global Hospital successfully treats a patient with a rare genetic disease called Wilson disease and gives a new lease of life.

A 35-year-old patient got a new lease of life, after a team of medical experts at BGS Gleneagles Global Hospital, Bangalore performed a complex liver transplant surgery. His condition was deteriorating rapidly, by the time he arrived at the hospital. With no other option other than liver transplant, the team of Transplant Surgeons, Transplant Anaesthetists& Intensivists and Hepatologists performed a complex liver transplant to bring the patient back to life. The patient was suffering from a rare genetic disease called Wilson disease which was found only after his native liver was removed during transplantation and sent for pathological examination.

After experiencing some health discomfort, Mr Mahantesh, a young individual from Gokak, first presented to Senior Gastroenterologist & Hepatologist Dr.Varadaraj Gokak, who immediately referred him to BGS Gleneagles Global Hospital for further treatment, looking at his condition. He was rushed to the hospital in a critical condition on June 5th, 2020. After performing a few rounds of tests, the doctors learned that the patient was suffering from acute on chronic liver failure (ACLF), with high MELD (Model for end-stage liver disease) score which was 40/40 with unrecordable INR (International Normalized Ratio), and Bilirubin of 20. ACLF is a distinct entity that has come to notice of liver specialists recently.

With the rapid deteriorating health condition of the patient, and liver transplant the only option left, our doctor’s next immediate step was to find a living donor, since there are no cadaver donations happening due to the ongoing COVID-19 crisis. After explaining the whole scenario to the family, his two brothers volunteered to save their brother’s life. After an extensive evaluation to make sure that they don’t have any liver problem, Mr Gurulingappa (one of his brothers) was chosen for liver donation.

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The surgery was performed on the next day of his admission at the hospital, considering his health condition. The patient was optimized before surgery using “plasma exchange” to avoid any complication during the surgery as his condition was quite critical. The team took 17hours to perform the surgery. Post conducting the surgery, the patient was given post-op care in Transplant ICU, followed by nutritional management and best physiotherapy care.

The medical experts who made this surgery a success, includes, DrVenugopal B Pillai (HOD &Sr.Consultant, Transplant Surgery), DrSunil Shenvi (Consultant, Multi-organTransplant Surgery), DrKuttappa (HOD & Senior Consultant, Transplant Anesthesia & Medical Director) and DrKaran Kumar (Hepatology). The team also received support from nurses and Transplant ICU staff (post-surgery) to avoid any risk of infections during the surgery and throughout the recovery stage.

Dr Sunil Shenvi, Consultant HPB & Transplant Surgery stated that;“The entire transplant was planned and performed with the utmost care by the entire team, considering the health of every individual involved in the case. It was certainly challenging for the team to do liver transplant during a pandemic like COVID-19, as everyone involved was exposed to possible risks during this time. With the collaborative effort of the entire team which consists of Transplant Surgeons, Transplant Anaesthetists, Liver Intensivists, Hepatologists, Nurses, Physiotherapists, Nutritionists and the staff, this surgery was a success.”

Despite the stormy course after transplant as expected based on his pre-op MELDscore(40/40) the patient slowly recovered and was discharged in stable condition within a month.

About BGS Gleneagles Global Hospitals –

BGS Gleneagles Global Hospitals located at Kengeri, is a state-of-the-art, NABH facility with expertise in multi-disciplinary tertiary specialities. With over 500-beds, the hospital is one of the largest of its kind in Bengaluru and consists of 14 operation theatres, most advanced imaging facilities and a modern Transplant ICU. The hospital caters to several key specialities including Oncology, Neurosurgery, Liver diseases and various others. BGS Gleneagles Global Hospitals caters to several overseas patients from around the world suffering from various disorders such as Liver ailments, Kidney failures, Breast Cancer, Leukaemia, Neurological disorders amongst others.

Gleneagles Global Hospitals has multi-super speciality hospitals in Bengaluru, Hyderabad, Chennai and Mumbai. The brand is the most preferred hospital group for multi-organ transplants in the Asia region. The parent entity of Gleneagles Global Hospitals is IHH Healthcare, a leading premium integrated healthcare provider with a network of 84 hospitals and more than 16,000 licensed beds. It is one of the largest healthcare groups in the world by market capitalisation and is listed in the Main Market of Bursa Malaysia and Main Board of SGX-ST. IHH is a leading player in the home markets of Malaysia, Singapore, Turkey and India, and in their key growth markets of China and Hong Kong.

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