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Dual Lobe Liver Transplant

From "No Treatment" to a "Second chance at Life"

Dr. Raghavendra Babu Y
In the quiet town of Kurnool, a life hung in the balance as Mr. Mahesh, age 35, grappled with the relentless grip of end-stage liver disease. Weighing 116 kilograms, he faced a daunting challenge that extended beyond the confines of standard liver transplant guidelines. Desperation and hope intertwined as Mahesh and his family sought a lifeline, which eventually led them to the doors of Star Hospitals, Financial District, Hyderabad.

Mahesh's case landed on the desk of Dr. Raghavendra Babu, Chief Liver Transplant & Hepatobiliary Surgeon. The initial evaluation painted a grim picture – Mahesh's condition fell outside the norm, and conventional transplant options were elusive. Despite his wife's willingness, her liver didn't meet the necessary size criteria. The patient's brother emerged as a potential donor, but a history of alcohol consumption had scarred his liver, rendering it unsuitable for donation. As Mahesh's health continued to spiral downward, the prospect of waiting for a cadaver donor became increasingly impractical.

In the face of this dire situation, Dr. Raghavendra Babu, fuelled by a determination to save a life, embarked on an extraordinary journey. His diagnostic acumen and surgical expertise illuminated a path forward that many deemed impossible. The Dual Lobe Liver Transplant stands as an incredibly demanding and challenging surgical procedure, rarely done in India and even in nations such as South Korea, who are renowned for achieving the world's highest success rates in this surgery. 

In Mahesh’s case, patient’s wife donated right lobe and brother donated left lobe. This was a 16 long hours highly demanding surgery, where there was high risk to the patient who needs to withstand this long hour surgery OT table. The operating room witnessed an unprecedented scenario with three persons concurrently undergoing the surgery, led Dr Raghavendra Babu, Chief Liver Transplant & Hepatobiliary Surgeon, Star Hospitals and team comprising Dr Srinivasa Reddy, Consultant Clinical & Transplant Hepatologist, Star Hospitals, Dr Raghuram Reddy, Consultant Hepatobiliary & Transplant Surgeon, Star Hospitals, Dr Sunil, Senior Anaesthesiologist, Star Hospitals, Dr Bharath Kumar Nara, Star Hospitals, Senior Consultant Surgical Gastroenterology, Star Hospitals, Dr TV Aditya Chowdary, Senior Consultant Surgical Gastroenterology, Star Hospitals. The entire case was classified as very high risk, demanding utmost care for both the recipient and the donors involved.

Post-transplant, ensuring balanced blood inflow to both lobes and outflow becomes critical for the patient's well-being. Each gram of the transplanted liver holds profound significance, as any imbalance in blood distribution between the right and left lobes could lead to a recurrence of liver failure. The intricate nature of this delicate equilibrium underscores the precision required in managing post-operative care. The medical team's vigilance in maintaining equal blood perfusion to both lobes is paramount, safeguarding the success of the transplant and safeguarding the patient from potential complications that could compromise the efficacy of the life-saving procedure.

Today, as Mahesh strides toward recovery, the significance of this groundbreaking Dual Lobe Liver Transplant, first in Telangana & Andhra Pradesh not only showcases the exceptional medical expertise at Star Hospitals, Financial District, Hyderabad, but also symbolises a major leap forward in liver transplantation in the region. This procedure, once considered rare in India, now opens new possibilities for patients facing similar challenges, offering a ray of hope where conventional treatments fall short. 

Mahesh now stands on the path to recovery, his health is steadily improving, embodying the triumph of hope over adversity.

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