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Liver Transplantation at Iranian Hospital: A Beacon of Hope

21 Nov, 2023

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Introduction:


Welcome to Iranian Hospital, a beacon of healthcare excellence in the heart of Dubai, established in 1972 under the visionary guidance of His Highness Sheikh Rashid Bin Saeed Al Maktoum. As the oldest healthcare facility in Dubai, Iranian Hospital has been at the forefront of medical advancements, and its liver transplant program stands as a testament to its commitment to providing top-notch healthcare services.




A. Recognizing Liver Disease: Symptoms and Warning Signs

  • Fatigue: One of the early signs of liver dysfunction is persistent fatigue. Individuals may experience a constant lack of energy, even after adequate rest, impacting daily activities and productivity.
  • Jaundice: Yellowing of the skin and eyes, known as jaundice, is a classic symptom of liver disorders. This occurs when bilirubin, a yellow pigment, builds up in the bloodstream due to liver impairment.
  • Abdominal Pain: Liver diseases can cause abdominal discomfort or pain, often located in the upper right side. This pain may be dull, throbbing, or persistent, indicating potential liver issues.
  • Swelling: Swelling in the abdomen or legs, known as edema, can be a result of liver dysfunction. This occurs due to fluid retention, a common consequence of impaired liver function.
  • Unexplained Weight Loss: Rapid and unexplained weight loss may be indicative of various health issues, including liver disease. It is essential to investigate this symptom and consider liver health in the diagnostic process.
  • Changes in Stool and Urine Color: Alterations in the color of stool (pale or clay-colored) and urine (dark yellow or brown) can signal liver problems. The liver plays a crucial role in processing and eliminating waste products, and changes in color may reflect dysfunction.
  • Nausea and Vomiting: Liver diseases can lead to digestive issues, including nausea and vomiting. These symptoms may be chronic or intermittent, emphasizing the importance of thorough medical evaluation.
  • Loss of Appetite: A noticeable decrease in appetite, accompanied by a disinterest in food, can be a symptom of liver disorders. This may contribute to unintended weight loss over time.
  • Itchy Skin: Liver dysfunction can lead to the accumulation of bile salts in the bloodstream, causing itching. Persistent itching, especially without an apparent skin rash, warrants investigation into liver health.
  • Dark Colored Bruises: Easy bruising and the development of dark-colored bruises can be linked to impaired liver function. The liver produces clotting factors, and dysfunction may impact the body's ability to form clots.

B. Precision Diagnosis for Liver Health at Iranian Hospital

  • Advanced Imaging Technology: At Iranian Hospital, state-of-the-art diagnostic facilities pave the way for precise and thorough evaluations of liver health. Cutting-edge imaging technologies, including ultrasound, CT scans, and MRI, allow our specialists to visualize the liver's structure and identify potential abnormalities.
  • Liver Function Tests: Comprehensive liver function tests are a cornerstone of our diagnostic approach. These blood tests assess various liver enzymes, bilirubin levels, and other markers, providing valuable insights into the overall health and functioning of the liver.
  • Biopsy and Histopathology: In certain cases, a liver biopsy may be recommended for a more detailed assessment. This procedure involves obtaining a small tissue sample from the liver, which is then analyzed under a microscope. Histopathological examination helps identify the nature and extent of liver damage.
  • FibroScan Technology: Iranian Hospital employs advanced FibroScan technology, a non-invasive method that measures liver stiffness. This assessment aids in evaluating the degree of liver fibrosis or scarring, guiding the medical team in formulating an accurate diagnosis and treatment plan.
  • Genetic and DNA Diagnostic Lab: As pioneers in the region, Iranian Hospital features the first cytogenetic and DNA diagnostic lab. This cutting-edge facility enables genetic testing, contributing to a more personalized understanding of liver conditions with potential hereditary components.
  • Collaborative Consultations: Our multidisciplinary team of hepatologists, radiologists, and pathologists collaborates closely in reviewing diagnostic results. This collaborative approach ensures a comprehensive understanding of the patient's liver health, leading to a more accurate diagnosis.
  • Patient-Centric Discussions: Beyond the technical aspects of diagnosis, Iranian Hospital values patient engagement. Our specialists take the time to discuss diagnostic findings with patients, ensuring a clear and transparent communication process. This patient-centric approach empowers individuals to actively participate in their healthcare journey.


C. Navigating Risks and Understanding Complications in Liver Transplantation

  • Surgical Risks: Liver transplantation, while life-saving, involves inherent surgical risks. These may include bleeding, infection, or adverse reactions to anesthesia. Iranian Hospital's experienced surgical team, operating in modern facilities, diligently manages and mitigates these risks to prioritize patient safety.
  • Postoperative Complications: The post-transplant phase may present complications such as organ rejection, bile duct complications, or vascular issues. Iranian Hospital's vigilant postoperative care, including regular monitoring and advanced diagnostic capabilities, ensures early detection and swift intervention when complications arise.
  • Immunosuppression Challenges: To prevent organ rejection, patients undergo immunosuppressive therapy. However, this comes with potential complications, such as increased susceptibility to infections or long-term side effects. Iranian Hospital's medical team tailors immunosuppression regimens, balancing effectiveness with minimizing adverse effects.
  • Rejection Risks: Despite meticulous care, there is always a risk of the body rejecting the transplanted liver. Iranian Hospital employs advanced monitoring techniques and personalized immunosuppression strategies to detect and address rejection promptly.
  • Vascular and Biliary Complications: Issues with blood vessels supplying the liver or bile duct complications can arise. Iranian Hospital, equipped with advanced diagnostic tools like Fibro Scan and a dedicated diagnostic-imaging center, is well-prepared to diagnose and treat vascular and biliary complications.
  • Infection Control Measures: Post-transplant, patients are more susceptible to infections due to immunosuppression. Iranian Hospital's stringent infection control measures, including a fully automated advanced laboratory, aim to minimize infection risks and ensure a safe recovery environment.
  • Psychosocial Considerations: Liver transplantation involves not only physical but also emotional challenges. Iranian Hospital recognizes the importance of psychosocial support, offering counseling services and a patient-centric approach to address the holistic well-being of individuals undergoing transplantation.
  • Financial Considerations: Understanding the financial aspects of transplantation is crucial. Iranian Hospital, as a not-for-profit organization, prioritizes transparency in cost structures, providing patients with a clear understanding of the financial considerations associated with liver transplantation.



D. Step-by-Step Guide to Liver Transplantation at Iranian Hospital


1. Pre-Transplant Evaluation:

  • The process begins with a thorough evaluation to assess the patient's overall health and suitability for transplantation.
  • Our expert medical team, led by specialists like Dr. Mohammad Ali Kheiry, conducts a series of tests, including blood work, imaging, and consultations, to determine the best course of action.

2. Patient Listing:

  • Once deemed eligible for transplantation, the patient is added to the transplant waiting list.
  • Iranian Hospital employs a fair and transparent system, considering factors like medical urgency, compatibility, and time spent on the waiting list.

3. Donor Matching:

  • For deceased donor transplants, our team works diligently to match the patient with a suitable donor based on factors such as blood type, body size, and medical compatibility.
  • Living donor transplants involve a careful evaluation of potential donors, ensuring both the donor's and recipient's safety.

4. Preoperative Preparation:

  • Prior to surgery, patients undergo a comprehensive preoperative assessment, including final blood tests, imaging, and consultations.
  • Iranian Hospital's team educates patients about the procedure, addresses concerns, and ensures they are mentally and emotionally prepared.

5. Anesthesia and Incision:

  • On the day of the surgery, the patient is administered anesthesia to ensure a pain-free experience.
  • A carefully planned incision is made in the abdomen to access the liver. Iranian Hospital's modern operation theaters are equipped for laparoscopic and minimally invasive surgery, minimizing discomfort and expediting recovery.

6. Liver Removal (Deceased Donor) or Partial Hepatectomy (Living Donor):

  • In deceased donor transplants, the damaged liver is removed and replaced with the healthy donor liver.
  • Living donor transplants involve the removal of a portion of the donor's liver, which is then transplanted into the recipient.

7. Vascular and Biliary Connections:

  • The transplant surgeon meticulously connects the blood vessels and bile ducts of the new liver to ensure proper functioning.
  • Iranian Hospital's experienced surgical team ensures precision in these critical connections.

8. Closing Incision:

  • Once the connections are secure, the surgical team closes the incision with sutures or staples.
  • Postoperative care begins immediately, with patients monitored closely in the recovery room.

9. Postoperative Care and Monitoring:

  • Following surgery, patients are transferred to the Intensive Care Unit (ICU) or a specialized recovery area for close monitoring.
  • Iranian Hospital's dedicated medical staff provides round-the-clock care, addressing any immediate concerns and ensuring a smooth transition to the next phases of recovery.

10. Rehabilitation and Follow-Up:

  • As patients progress in their recovery, they move to specialized wards for ongoing care and rehabilitation.
  • Iranian Hospital emphasizes long-term follow-up, with regular check-ups, imaging, and support services to monitor the success of the transplant and address any emerging issues.




E. Why Choose Iranian Hospital for Liver Transplantation?


1. Expertise and Experience:

  • Iranian Hospital boasts a team of highly skilled and experienced specialists, including renowned surgeons like Dr. Mohammad Ali Kheiry and Dr. Mohamed Abdur Rahman.
  • With a legacy dating back to 1972, our liver transplantation program benefits from decades of expertise, ensuring the highest standard of care.

2. State-of-the-Art Facilities:

  • Equipped with 10 modern operation theaters, a fully automated advanced laboratory, and cutting-edge diagnostic-imaging centers, Iranian Hospital provides a technologically advanced environment for liver transplantation.
  • Our infrastructure supports laparoscopic and minimally invasive surgery, optimizing patient outcomes and recovery.

3. Not-for-Profit and Humanitarian Values:

  • Iranian Hospital operates on a not-for-profit basis with a charity focus, aligning with the humanitarian values of the Red Crescent Society.
  • Our mission is to ensure cooperation between the great nations of Iran and the UAE, offering top-notch healthcare services to the community.

4. Patient-Centric Approach:

  • At Iranian Hospital, patients are at the center of our care philosophy. We prioritize clear communication, emotional support, and a personalized approach to address individual needs.
  • Our medical team engages in collaborative discussions, empowering patients to actively participate in their healthcare journey.

5. Comprehensive Services and Multidisciplinary Care:

  • Beyond transplantation, Iranian Hospital provides a wide range of specialties, including cardiology, dermatology, gastroenterology, and more.
  • A multidisciplinary approach ensures that patients receive comprehensive care, addressing both the primary liver condition and any associated health issues.

6. Transparency in Cost Structures:

  • Iranian Hospital is committed to transparency in financial matters. We provide clear and understandable cost structures for liver transplantation, ensuring patients are well-informed about the financial aspects of their treatment.

7.Proven Track Record and Patient Testimonials:

  • Numerous success stories and positive patient testimonials reflect the effectiveness of Iranian Hospital's liver transplantation program.
  • Real-life experiences underscore our commitment to achieving optimal outcomes and the trust placed in us by those we've had the privilege to serve.

8. Community Outreach and Educational Initiatives:

  • Iranian Hospital actively engages in community outreach programs, conducting educational initiatives to raise awareness about liver health, transplantation, and preventive measures.
  • We strive to empower the community with knowledge, fostering a proactive approach to liver health.

F. Tailored Treatment Plans

Treatment Package: Iranian Hospital offers comprehensive liver transplant treatment packages that cover all aspects of the procedure, from pre-operative assessments to post-operative care.

1. Inclusions:

  • Pre-transplant evaluation
  • Surgical procedure
  • Post-operative care
  • Medications and follow-up consultations

2. Exclusions:

  • Non-standard medical complications
  • Additional diagnostic procedures not specified in the package.

3. Duration:

  • The duration of a liver transplant varies, but Iranian Hospital's streamlined processes aim to minimize the overall timeline while ensuring thorough care.

4. Cost Benefits:

  • Our not-for-profit organization ethos extends to our liver transplant program, making quality healthcare accessible. Iranian Hospital provides transparent cost structures, ensuring patients understand the financial aspects of their treatment.


G. Cost Breakdown of Liver Transplantation in the UAE


1. Preoperative Diagnostic Tests: AED 5,000 to AED 10,000

  • Before the liver transplant procedure, a series of diagnostic tests are conducted to assess the patient's overall health and suitability for transplantation.
  • Costs associated with blood work, imaging, and consultations typically range between AED 5,000 and AED 10,000.

2. Surgery Cost Package: AED 80,000 to AED 150,000

  • The surgery cost package covers expenses directly related to the transplantation procedure. This includes the surgeon's fees, operating room charges, and other surgical necessities.
  • Costs in this category can vary based on the complexity of the surgery and the medical infrastructure of the hospital, ranging from AED 80,000 to AED 150,000.

3. Post-operative Care: AED 10,000 to AED 20,000

  • After the surgery, patients require specialized post-operative care, which involves monitoring, medications, and additional medical attention.
  • Post-operative care costs typically fall within the range of AED 10,000 to AED 20,000, depending on the duration and intensity of care required.

4. Medication: AED 5,000 to AED 10,000

  • Medications, including immunosuppressants to prevent organ rejection, form a crucial part of the post-transplant treatment plan.
  • The cost of medications can vary but is generally estimated to be between AED 5,000 and AED 10,000, depending on the specific drugs prescribed and their duration.

H. Post-Transplant Care and Rehabilitation:


1. Comprehensive Monitoring and Support:

  • After a successful liver transplant at Iranian Hospital, a vigilant and compassionate post-transplant care plan is set in motion.
  • Patients are closely monitored in the initial days to ensure the transplanted liver functions optimally and to identify and address any potential complications promptly.

2. Specialized Rehabilitation Programs:

  • Iranian Hospital recognizes that recovery extends beyond the surgical suite. Tailored rehabilitation programs are designed to assist patients in regaining strength, mobility, and overall well-being.
  • Physiotherapy and occupational therapy play integral roles in these programs, fostering a gradual return to normal activities.

3. Immunosuppression Management:

  • To prevent organ rejection, patients receive immunosuppressive medications post-transplant. Iranian Hospital's medical team carefully manages these medications, ensuring a delicate balance between preventing rejection and minimizing side effects.
  • Regular monitoring helps adjust medication dosages, optimizing the immunosuppression regimen for each patient.

4. Psychosocial Support Services:

  • Liver transplantation is not just a physical journey; it involves emotional and psychological aspects. Iranian Hospital offers dedicated psychosocial support services, including counseling and support groups.
  • Addressing the emotional well-being of patients and their families is an integral part of the post-transplant care ethos at Iranian Hospital.

5. Long-Term Follow-Up and Monitoring:

  • The commitment to patient well-being extends into the long term. Iranian Hospital emphasizes regular follow-up appointments and monitoring, ensuring that patients continue to thrive years after their liver transplant.
  • Routine check-ups, imaging studies, and blood tests contribute to the ongoing assessment of the transplanted liver's health.

6. Educational Resources for Patients:

  • Iranian Hospital provides educational resources to empower patients with knowledge about post-transplant care and lifestyle adjustments.
  • These resources cover topics such as dietary considerations, medication management, and signs of potential complications, fostering informed and proactive patient participation in their ongoing health.

7. Community of Support:

Joining a community of individuals who have undergone liver transplantation can be a source of encouragement and shared experiences. Iranian Hospital facilitates connections between patients, creating a supportive network for those navigating the post-transplant journey.



Patient Testimonials


1. Sarah's Story

  • "Iranian Hospital gave me a second chance at life through their exceptional liver transplant program. From the initial consultation to the post-operative care, the entire medical team was incredibly supportive. The transparent communication about the treatment plan and cost made the process much smoother. Today, I am grateful for the expertise and compassion that defined my journey to recovery."

2. Ahmed's Testimonial

  • "As someone battling liver disease, the decision to undergo a transplant was daunting. Iranian Hospital not only provided me with a skilled medical team but also a sense of reassurance. The comprehensive treatment package covered every aspect of my journey, and the dedicated staff made me feel like more than just a patient. Iranian Hospital's commitment to excellence truly shines through."

3. Maria's Gratitude

  • "Iranian Hospital exceeded my expectations in every aspect of my liver transplant journey. The world-class facilities, coupled with the expertise of Dr. Mohammad Ali Kheiry, ensured a seamless procedure. The post-operative care was attentive, and the inclusive treatment package made the financial aspect straightforward. I owe my renewed health to the remarkable team at Iranian Hospital."

4. John's Experience

  • "Facing the risks and complications associated with liver transplantation can be overwhelming, but Iranian Hospital's thorough evaluation and risk management strategy filled me with confidence. The personalized treatment plan, clear inclusions and exclusions, and transparent communication about costs were instrumental in my decision. Iranian Hospital's commitment to patient safety is commendable."

5. Aisha's Grateful Heart

  • "Iranian Hospital's commitment to not-for-profit healthcare made my liver transplant not only life-saving but also financially manageable. The cost benefits were transparently laid out, and the team worked with me to ensure I received the necessary care without undue financial stress. My heartfelt thanks to Iranian Hospital for making quality healthcare accessible




Conclusion:


Choosing Iranian Hospital for liver transplantation means choosing a legacy of care, excellence, and hope. Our commitment to serving the community, combined with a rich history dating back to 1972, makes us a trusted partner in your healthcare journey. Experience the difference at Iranian Hospital—the oldest, the most compassionate, and the premier choice for liver transplantation in Dubai. Your journey to renewed health starts here.

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FAQs

A: Liver transplantation is a surgical procedure in which a diseased or damaged liver is replaced with a healthy liver from a living or deceased donor. It is recommended for individuals with end-stage liver disease or acute liver failure.