Liver Transplant India, Liver Transplant Cost in India, Liver Transplant Surgery Specialist in India – Dr. A. S. Soin

Dr. A. S. Soin

Dr. A. S. SOIN Hepatobiliary and Liver Transplant Surgeon

December 28, 2024

Dr. A. S. SOIN

Dr A S Soin is recognized all over the world over for his pioneering work in establishing liver transplantation in India. From 2001 to mid-2010, he established a big liver transplant centre at Sir Gangaram Hospital. However, in June 2010, he moved with his entire team to Medanta-The Medicity, Gurgaon (Delhi-NCR). Medanta at the current bed strength of 925 (and soon to be 1500) is one of the largest and the most modern tertiary care hospitals in the country, where Dr. Soin has established a 150-bedded (including 36 Liver ICU beds) dedicated Liver Treatment facility, carrying out 250 liver transplants and hundreds of complex liver and biliary tract surgeries every year.

 


Medanta Liver Institute is a first of its kind dedicated Institute in Asia and one of the few in the world, which combines state-of the art facilities for Living donor, Cadaveric donor, pediatric and adult liver transplantation along with a large research programme for stem cell and liver cell transplantation. These are cutting edge technologies that can potentially treat liver failure without transplant.

Dr Soin has performed over 3800 living donor including over 400 pediatric liver transplants in India, which is the highest in the country, and the second highest in the world. He and his team currently perform 22-25 live donor liver transplants every month with 95% success – results which are at par with the world’s best centres. Apart from referrals from all over the country, he handles cases from the rest of South Asia, The Middle East and Africa.

Besides running their own highly successful programme, he and his team are also responsible for training most of the remaining liver transplant teams in India and neighbouring countries that have recently started performing this procedure. In disseminating expertise countrywide and beyond, building confidence in the procedure among patients and their referring physicians, and in moving it from experimental status to a highly successful life-saving procedure, he has in the true sense, pioneered the development of this speciality in India and the subcontinent in the last 15 years.

In his extensive experience of 21 years as a Liver Transplant Surgeon and Hepatobiliary surgeon, he has performed more than 1500 liver transplants and more than 12000 other complex liver, gall bladder and bile duct surgeries.

Dr Soin serves on the committees of all the important National and International Societies, as well as the National Advisory Board in Liver Transplantation. He is a regular Faculty member and speaker (often the only one from India) at most world fora in Liver Transplantation such as ILTS, AASLD, APDW, IHPBA, IASGO, APASL, Asian Living Donor Liver Transplant Group, Asia Pacific Organ Transplant Forum etc.

MBBS(AIIMS), MS (AIIMS), FRCS (Edin), FRCS (Glas), FRCS (Transplant Surgery)-Cambridge, UK

Chief Hepatobiliary and Liver Transplant Surgeon
Chairman, Medanta Institute of Liver Transplantation and Regenerative Medicine
Medanta-The Medicity, Gurgaon (Delhi-NCR),India

Best liver Transplant in India

Summary of Academic Career of Dr. A. S. Soin

Doctor Soin’s initial surgical training was at the All India Institute of Medical Sciences (AIIMS), New Delhi. He spent 11 years there gaining his MBBS and MS degrees followed by specialist experience in Liver and Gastrointestinal Surgery, during which he published a research thesis on Portal Hypertensive Gastropathy.

He then obtained FRCS degrees from both Glasgow and Edinburgh in the UK, following which he trained and worked at two of the worlds most renowned centers (University of Cambridge 5 years, University of Birmingham 1 year) for Liver and Biliary Surgery, and Liver, Kidney, Small Bowel and Pancreas transplantation for 6 years. He was one of the first few surgeons in the UK to qualify for and obtain an Intercollegiate FRCS in Transplant Surgery.

In addition to performing hundreds of transplants, he was Surgical Tutor for the University of Cambridge, and Faculty for 2 of the Royal Colleges in Surgery. At Cambridge, he also conducted pioneering research in transplantation. More than 110 of his original research papers and book contributions have been published / in international / national journals and books.

He was a Visiting Fellow at the Kyoto University Hospital in 1997 and Asan Medical Centre, Seoul, in 2000. He was Visiting Faculty at the Ege University, Izmir, Turkey in 2004, and Istanbul in 2006 and 2007. These centres are among the worlds most renowned for living donor liver transplantation.

In the beginning of 1998, he gave up the opportunity of a Faculty post at University of Cambridge and chose to return to India to establish a centre of excellence in liver transplantation in his own coutry.

Orations: Delivered 4 prestigious orations

- Naseem Ansari Oration at King George Medical College, Lucknow, 2007
- Medindia Oration at Chennai, 2008
- K.E.M. Mumbai, Oration, 2009
- Dr Phani Dhar Memorial Oration, Mumbai, March 2011

Paper presentations/invited talks/Faculty participation in meetings until October 2014: 873

National 578
International 295

In Liver Transplantation in India, I have the following FIRSTS TO MY CREDIT as the Chief Surgeon assisted by the other members of the team:

National Awards

1. Awarded Padma Shri by the President of India in 2010 for pioneering the development of Liver Transplantation in India.

2. Awarded the RD Birla Outstanding Clinician of the Year Award for the year 2010

3. Awarded the Zee TV – Swasth Bharat Samman Award for pioneering Liver Transplantation, 2011

4. Medical Statesman of the Year – E-MEDINEWS AWARDS, 2012

5. MSOSA Award for Excellence, 2014

Other Achievements and Awards

1. X standard (O-level) 1979: Ranked 15th in India in the National Borad Examination.

2. XII standard, (A-level) 1981: Ranked 17th in India in the National Board Exam.

3. National Talent Scholarship in 1981 for 9 years.

4. Best Student in Surgery medal in 1985 at AIIMS, New Delhi.

5. Best Postgraduate Student in Surgery medal in 1989 at AIIMS, New Delhi.

6. Ranked first in All India selection exam for Senior Resident in Surgery at AIIMS, New Delhi, 1990.

7. Awraded British Transplantation Society Bursary (1994) for research presentation at the Kyoto World Transplant Congress.

8. Awarded British Transplantation Society Bursary (1997) for Visiting Fellowship at the Kyoto Liver Transplant Unit.

9. Awarded research grant from the Royal College of Surgeons of Edinburgh 1996.

10. DMA Distinguished Services Award on July 1, 2005 for outstanding contribution to and pioneering achievements in Liver Transplantation in India.

11. 2008 Medindia Oration and Medindia Award for pioneering contribution in Liver Transplantation, Chennai, 2008.

12. DMA Award for excellence in Organ Transplantation 2010.

1. Soin AS, Nundy S. Alimantary duplications and diverticulae. South Indian Surgical Clinics 1988; 2: 132-8.

2. Gupta S, Soin AS, Gupta S, Sikora S, Sharma LK. Delayed sepsis after Ivalon Sponge Rectopexy. An unsual case. Aust NZ J Surg 1991; 61: 469-71.

3. Sharma LK, Gupta S, Soin AS, Sikora, Kapoor VK. Generalised peritonitis in india – the tropical spectrum. Jap J Surg 1991; 21: 272-7.

4. FUmana JP, Soin AS, Harrison JD et al. Liver Transplantation (LT) in patient sover 60: rational use of a scarce resource? Gut 1993; 34(suppl): S21.

5. Soin AS, Gunson BK, Mirza DF et al. Treatment of persistent acute rejection in hepatic allografts in an era of FK 506 (Abstract) In: The abstract book of the Combined Dutch and British Transplantation Society meeting, 11-12 October, 1993.

6. Soin AS, Gupta S, Kochupillai N, Sharma LK. Primary hyperparathyroidism – an Indian study. Indian Journal of Cancer 1994; 31: 72-7.

7. Soin AS, Rasmussen A, Friend P et al. Cyclosporin levels in the early posttransplant period – predictive of chronic rejection in liver transplantation? Transplantation 1995; 59: 1119-23.

8. Soin AS, Jamieson NV. Native hepatic artery pseudoaneurysm after liver transplantation: an unusual presentation with biliary leak. European Journal of Vascular and Endovascular Surgery 1995; 10: 376-9.

9. Soin AS, Jamieson NV. Living related liver transplantation. National Medical Journal of India 1995; 8: 126-7.

10. Tokat Y, Soin AS, Saxena R et al. Posttransplant pronlems requiring regrafting: an analysis of 72 patients with 96 liver retransplants. Transplantation Proceedings 1995; 27: 1264-5.

11. Saxena R, Soin AS, Tokat Y, Rasmussen A, Jamieson NV, Calne R. Relationship between patterns of hepatobiliary vascular supply and biliary complications in liver transplantation. Transplantation Proceedings 1995; 27: 1199-1200.

12. Soin AS, Rasmussen A, Jamieson NV et al. Cyclosporin levels in th early posttransplant period- predictive chronic rejection in liver transplantation? Transplantation Proceedings 1995; 27:1129.

13. Soin AS, Friend PJ, Rasmussen A et al. Donor arterial variations in liver transplantation: Management and outcome 527 consecutive grafts. The British Journal of Surgery 1996; 83: 637-41.

14. Soin AS, Friend PJ. A simple modification to improve technical success rate of small bowel transplantation in rats. Transplantation Proceedings 1996; 28(6): 2722.

15. Soin ASImmunosuppression small and large bowel transplantation. Challenges in Immunosuppression No. 2, Jan 1996.

16. Soin AS, Friend PJ, Noble-Jamieson G et al. Successful transplantation of size-mismatched liver grafts in children by delayed primary closure of the abdominal wall. The British Journal of Surgery 1996; 83: 1532-6.

17. Soin AS, Jamieson NV. The lessons learnt from the randomized clinical trials of tacrolimus. National Medical Journal of India, 1996; 9: 224-6.

18. Saxena R, Soin AS, Tokat Y, Rasmussen A. The ischaemic basis of biliary complications in Liver Transplantation – an anatomico-clinical study. Indian Journal of Gastroenterology 1996; 15: V1.

19. Soin AS. UK doctors opposed to contractual obligation to report underperforming colleagues. National Medical Journal of India, March-April 1996.

20. Soin AS. Specialist Registrar Training Scheme in the UK. National Medical Journal of India. May-June 1996.

21. Soin AS. The right to die. National Medical Journal of India. September-October 1996.

22. Soin AS. The current status of xenotransplantation in the U.K. National Medical Journal of India. March-April 1997.

23. Evans PC, Soin AS, Ramsay LA, Toogood G, Wight DGD, Alexander GJM. IgA antibodies to 39 kD and 94 kD bile duct antigens anticipate chronic rejection. Hepatology (suppl) 1997.

24. Soin AS, Chavez R, Chavez G, Jamieson NV, White DJG, Friend PJ. Role of complement in rat small bowel rejection. Transplantation Proceedings 1997; 29: 1811-2.

25. Calne RY, Friend PJ, Middleton S, Jamieson NV, Watson CJE, Soin AS, Chavez-Cartaya R. Intestinal transplant between two identical triplets. The Lancet 1997; 350: 1077-8.

26. Soin AS, Friend PJ. Recent developments in transplantation of the small intestine. Br Med Bull. 1997;53(4):789-97.

27. Fujimoto Y, Soin AS, Tanaka K. Cadaveric Organ Transplantation in japan – the past, the present and the future. National Medical Journal of India March-April 1998;

11(2): 89-91.

28. Butler A, Soin AS, Friend P et al. Intestinal isograft: functional recovery in absence of rejection, infection and immunosuppression. Transplantation Proceedings 1998; 30.

29. Soin AS, Nundy S, Acharya SK, Mathur M, Sahni P. Congestive gastropathy in non-cirrhotic portal hypertension: changes after decompressive shunt surgery. Journal of Clinical Gastroenterology 1998; 26: 64-8.

30. Soin AS, Metcalfe SM, Friend PJ. Depletion of peripheral blood lymphocytes using monoclonal antibodies for transplant tolerance: tip of the iceberg? Transplantation Proceedings 1998; 30: 2572.

31. Soin AS, Watson CJE, Friend PJ et al. Intestinal chronic rejection presenting with encephalopathy. Transplantation Proceedings 1998; 30.

32. Evans PC, Soin AS, Wreghitt TG, Alexander GJM. Qualitative and semi-quantitative polymerase chain reaction testing for Cytomegalovirus DNA in serum allows prediction of CMV related disease in liver transplant recipients. Journal of Clinical Pathology 1998; 51(12): 914-21.

33. Sibal A, Soin AS, Rajasekar MR. Liver transplantation in the developing world. Indian J Pediatr 1999;66(1 Suppl):S120-3.

34. Soin AS, Rajasekar MR. Laparoscopic Donor Nephrectomy – a major advance in kidney transplantation. Transplant Trends 1999; 4: 1-2.

35. Soin AS, Rajasekar MR, Rajakumari DV et al. Experience with laparoscopic donor nephrectomy in India: is the open approach justified any longer? Transplant Proc 2000 Nov; 32(7):1585.

36. Rajasekar MR, Soin AS, Rajakumari DV, Rehmani A, Jasuja S. Challenges in laparoscopic donor nephrectomy and technical innovations to make it cost effective. Transplant Proc 2000 Nov;32(7):1581.

37. Evans PC, Soin AS, Wreghitt TG, Taylor, CJ, Wight D, Alexander GJ. An association between cytomegalovirus infection and chronic rejection after liver transplantation. Transplantation 2000 Jan 15;69(1):30-5.

38. Soin AS, Rajasekar MR, Sibal A, Rajakumari V. Living related liver transplantation in children: first report of three successful cases in India. Indian Journal of Pediatric Surgery 2000 (in press).

39. Soin AS, Rajasekar MR, Rajakumari DV, Mishra A. Jasuja S. The success of laparoscopic donor nephrectomy: Is the open approach justified? Transplant Proc 2001; 33:1997-8

40. Poonacha P, Sibal A, Soin AS, Rajasekar MR, Rajakumari DV. India’s first successful pediatric liver transplant. Indian Pediatr 2001; 38: 287-91

41. Soin AS, Rajasekar MR, Rajakumari DV, Sibal A. Single-centre experience of liver transplantation from India’s first liver transplant programme. Indian Journal of Gastroenterology 2001 (INASL suppl).

42. Rajasekar MR, Soin AS, Rajakumari DV. Successful adult-to-adult living donor right lobe transplantation in India. Indian Journal of Gastroenterology 2001 (INASL suppl).

43. Sibal A, Soin AS, Rajasekar MR, Rajakumari DV, Poonacha P. Pediatric liver transplantation: experience from a single centre and the lessons learnt.. Indian Journal of Gastroenterology 2001 (INASL suppl).

44. Singhal D, Vasdev N, Gupta S, Soin AS, Nayak NC, Nundy S. Fibrolamellar hepatocellular carcinoma- Not a rare tumor in India and a possible new marker. Journal of Gastroenterology and Hepatology 2002;17(Suppl.):A1051:67.

45. Gupta S, Soin AS, Singhal D, Somashekar U, Verma V, Kumar M, Nundy S. Mesocaval shunt using external iliac vein interposition graft as an alternative to TIPSS. Journal of Gastroenterology and Hepatology 2002;17(Suppl.):A1054:72.

46. Soin AS, Gupta S, Jain P, Sewkani A, Singhal D, Verma V, Somashekar U, Kumar M, Nundy S. Middle hepatic vein outflow reconstruction in right lobe liver transplantation- Experience of two cases. Journal of Gastroenterology and Hepatology 2002;17(Suppl.):A1034:24.

47. Gupta S, Soin AS, Jain P, Sewkani A, Singhal D, Somashekar U, Verma V, Kumar M, Nundy S, Singh S, Buxi TBX. Utility of CT angiography in defining segment 5 and 8 venous tributaries in adult – adult living donor liver transplantation: An Indian series. Journal of Gastroenterology and Hepatology 2002;17(Suppl.):A1034:25.

48. Soin AS, Gupta S, Jain P, Singh A, Khullar D, Gupta A, Bhalla A, Rana DS. Graft function and recepient complications after lapoaroscopic donor nephrectomy. Transplantation 2002;74(4)S:674

49. Soin AS. Invited editorial on Liver Transplantation entitled “Liver Sutra” in Hindustan Times, 20 August 2003.

50. Soin AS. Ethical dilemmas in living donor liver transplantation (Editorial). Issues Med Ethics 2003; 11:104-5.
51. Soin AS. Summary of proceedings of the First National Consensus Symposium on Liver Transplantation and Cadaveric Organ Donation. Indian Transplant, October 2003.
52. Soin AS, Gupta S, Saigal S, Nundy S. Adult to adult living donor left lobe liver transplantation: does size really matter? Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 846.
53. Vij V, Soin AS, Gupta S et al. POSSUM as a predictor of mortality in liver resections. Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 844.
54. Goyal N, Singhal D, Soin AS et al. Factors related to early mortality following transabdominal devascularisation procedure for acute variceal hemorrhage. Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 735.

55. Gupta S, Soin AS, Nundy S. A slinging technique for left donor hepatectomy. Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 740.
56. Kakodkar R, Soin AS, Gupta S, Nundy S. Choledochal cysts in adults: are they really different? Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 756.
57. Saigal S, Soin AS, Gupta S, Chawla D, Nundy S. Portal hyperperfusion in small for size left lobe liver graft successfully treated using somatostatin infusion. Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 845.
58. Verma V, Gupta S, Soin AS, Nundy S. Aggressive management of 120 patients with gall bladder cancer – is it worthwhile? Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 757.
59. D Singhal, N Vasdev, A Soin, S Gupta, S Nundy. Distinguishing between periampullary carcinoids and carcinomas – is this possible preoperatively? Indian Journal of Gastroenterology, 2006 Jul-Aug;25(4):206-7.
60. D Singhal, R Kakodkar, A Soin, S Gupta, S Nundy. Sinistral Portal Hypertension, accepted as online multimedia presentation in J Pancreas (online) 2006; 7: 670-673.
61. N Goyal, D Singhal, S Gupta, AS Soin, S Nundy. Transabdominal gastro-esophageal devascularization without transection for bleeding varices: Results and indicators of prognosis. J Gastroenterol Hepatol 2007; 22: 47-50.
62. Soin AS, Gupta S, Saigal S, Vohra V, Nundy S. Evolution of a successful living donor liver transplant programme in India: an analysis of 36 consecutive cases. Liver Transplantation 2006; 12(5): ILTS C1-142.
63. Soin AS, Gupta S, Saigal S, Nundy S. Evolution of a successful living donor liver transplant programme in India: an analysis of 36 consecutive cases. Liver Transplantation 2006; 12(5): ILTS C1-142.
64. Soin AS, Anand R. Liver Transplant: Indian Perspective, Hepatology Annual Update 2007.
65. N Goyal, Soin AS, D Singhal, S Gupta, S Nundy. Transabdominal gastro-esophageal devascularization without transection for bleeding varices: Results and indicators of prognosis. J Gastroenterology Hepatology 2007; 22: 47-50.
66. Soin AS , Partial middle hepatic vein inclusion in right lobe grafts: A new donor friendly approach to better venous drainage of the anterior sector ; Liver Transplantation 2007; 17: ILTS P17 -1.
67. Soin AS, Impact of MHV inclusion in right lobe living donor liver transplantation; Liver Transplantation 2007; 18: ILTS P18 -1 68. Soin AS., Emergency living donor liver transplantation for fulminant hepatic failure; Liver Transplantation 2007; 134: ILTS; P134 -1
69. Soin AS, Adult to adult living donor liver transplantation: Is a graft/body/weight ratio less than 0.8 Safe?; Liver Transplantation 2007; 155: ILTS
70. Soin AS, Management of recipients with portal vein thrombosis is live donor liver transplantation: Experience from one center; Liver Transplantation 2007; 157: ILTS
71. Soin AS, Living donor liver transplantation for patients with cirrhosis and renal dysfunction; Liver Transplantation 2007; 159: ILTS
72. S Marwah, M M R Khan, A Soin et al. Two hundred and forty one consecutive liver resections: an experience from India. HPB (Oxford). 2007;9(1):29-36
73. A Soin, KR Vasudevan A successful deceased-donor liver transplant program is not a prerequisite for a living-donor program. Indian J Gastroenterol. 2006; 25(6):305-7.
74. Soin AS, Amanjit Singh; Recanalized umbilical vein as a conduit for anterior sector venous outflow reconstruction in right lobe grafts. Surgery. 2007 Jun;141(6):830. Epub 2007 Apr 17.
75. Kakodkar R, Soin AS Nundy S; Liver transplantation in India: its evolution, problems and the way forward., Natl Med J India. 2007 Mar-Apr;20(2):53-6.
76. Goyal N, Singhal D, Soin AS. What are the essential components of a transabdominal devascularization procedure for bleeding esophageal varices? World J Surg. 2007 Apr;31(4):861-2.
77. A.S. Soin, R. Kakodkar, , S. Saigal, N. Saraf, N. Mohan, S. Nundy. Escalation schedule of triple drug immunosuppression in living donor liver transplantation: less is better. Transplant International 2007, 20 [suppl 2]: 32.
78. R. Kakodkar, S. Saigal, N. Saraf, N. Mohan, S. Nundy, A.S. Soin. Technical innovations can reduce biliary complications in living donor liver transplantation. Transplant International 2007, 20 [suppl 2]: 297.
79. Soin AS, Kakodkar R. Living Donor Liver Transplantation in India: feasible and beneficial. Tropical Gastroenterology 2007.
80. Soin AS, Anand R. Liver Transplantation : Indian Perspective. Hepatology Update 2007
81. R Kakodkar, S Nundy, AS Soin. Use of banked cryopreserved veins from explanted recipient livers in living donor liver transplantation. Surgery 2008;144:93-5.
82. Dinesh Singhal, Neerav Goyal, Subash Gupta, Arvinder S Soin, Samiran Nundy . Isolated Loop Pancreatic Remnant Drainage Following Pancreaticoduodenal Resection. Hepatogastroenterology 2008, 55:677-680.
83. Sood D, Kumaran V, Kakodkar R, Punamia SJ, Saigal S, Nundy S, Soin AS. Portal vein stenosis following living donor liver transplant: Manifestations and management. Transpl Int. 2009 Apr;22(4):496-9. Epub 2008 Dec 3.
84. Sood D, Kumaran V, Kakodkar R, Nundy S, Soin AS. Malignant masquerade at the hepatic hilun. Indian J Surg 2008;70:334-5.
85. Gupta M, Sonar P, Kakodkar R, Kumaran V, Soin A, Nundy S. Small bowel enterocutaneous fistulae: The merits of early surgery. Indian J Surg 2008;70:303-7.
86. Sood D, Nundy S, Soin AS. Improving outcome of liver resection in patients with colorectal metastases. Natl Med J India 2008 Jul-Aug;21(4):185-6.
87. Sood D, Kumaran V, Buxi TBS, Nundy S, Soin AS Liver hemangioma mimicking cholangiocarcinoma – a diagnostic dilemma. Trop Gastroenterol 2009; 30: 44-6.
88. Varma V , Gupta S, Soin A, Nundy S. Does the presence of a lump or jaundice in a patient with gall bladder cancer mean the lesion is not respectable. Dig Surg 2009;26:306-311.
89. Perwaiz A, Mehta N, Kumaran V, Nundy S, Soin AS. Right-sided diaphragmatic hernia in an adult after living donor liver transplant: a rare cause of post-transplant recurrent abdominal pain. Hernia. 2009 Dec 3. [Epub ahead of print]
90. Nayak NC, Vasdev N, Saigal S, Soin AS. End-stage nonalcoholic fatty liver disease: evaluation of pathomorphologic features and relationship to cryptogenic cirrhosis from study of explant livers in a living donor liver transplant program. Hum Pathol. 2009 Nov 30. [Epub ahead of print]
91. Soin A, Kumaran V, Mehta N, Mohan N, Nundy S. Bridge venoplasty: A new technique to simplify venous outflow reconstruction in living donor domino liver transplantation. Surgery 2009 Oct 26. [Epub ahead of print]
92. Soin AS, Kumaran V, Rastogi AN, Mehta N, Saigal S, Saraf N, Mohan N, Nundy S. Evolution of a reliable biliary reconstructive technique in 400 consecutive living donor liver transplants. J Am Coll Surg 2010 Jul;211(1):24-32. Epub 2010 May 15.
93. Soin AS, Singla P et al. Segment IV preserving middle hepatic vein retrieval in right lobe living donor liver transplantation. J Am Coll Surg 2011 Aug;213(2):e5-e16. Epub 2011 Jun 8.
94. Saigal S, Choudhary N, Saraf N, Kotecha H, Kakodkar R, Rastogi A, Menon P, Goja S, Govil D, Vohra V, Soin AS. Excellent outcome of living donor liver transplantation in patients with hepatopulmonary syndrome: a single centre experience. Clin Transplant 2013 May 31.
95. Pant V, Sen IB, Soin AS, Role of 18F-FDG PET CT as an independent prognostic indicator in patients with hepatocellular carcinoma. Nucl Med Commun 2013 May 17. [Epub ahead of print].
96. Soin AS ,Kakodkar R, Liver Transplantation for HCC: A Review. Indian J Surg 2012 Feb;74(1):100-17.
97. Choudhary NS, Saigal S, Saraf N, Puri R, Soin AS. Innovative approach using an intragastric balloon for weight loss in a morbidly obese patient undergoing liver transplantation. Liver Transpl 2013 Feb;19(2):235.
98. Soin AS, Smoothing the path: reducing biliary complications, addressing small-for-size syndrome, and making other adaptations to decrease the risk for living donor liver transplant recipients. Liver Transpl 2012 Nov;18 Suppl 2:S20-4
99. Nayak NC, Jain D, Vasdev N, Gulwani H, Saigal S, Soin AS. Etiologic types of end-stage chronic liver disease in adults: analysis of prevalence and their temporal changes from a study on native liver explants. Eur J Gastroenterol Hepatol 2012 Oct;24(10):1199-208.
100. Lalwani S, Govindasamy M, Gupta M, Siraj F, Varma V, Mehta N, Kumaran V, Mohan N, Chopra P, Arora A, Agarwal , Soin AS, Nundy S. Gastrointestinal mucormycosis–four cases with different risk factors, involving different anatomical sites. Indian J Gastroenterol 2012 Jun;31(3):139-43.
101. Gupta M, Kumaran V, Mehta N N, Rastogi A, Soin AS, Nundy S. Roux loop obstruction by an enterolith formation around migrated endobiliary stent. Trop Gastroenterol 2011 Jul-Sep;32(3):240-1.
102. Nayak NC, Jain D, Saigal S, Soin AS. Non-cirrhotic portal fibrosis: one disease with many names? An analysis from morphological study of native explant livers with end stage chronic liver disease. J Clin Pathol 2011 Jul;64(7):592-8.
103. Sood D, Kumaran V, Soin AS, Nundy S. Blunt abdominal trauma, acute mesenteric venous thrombosis and small bowel stricture. Trop Gastroenterol 2010 Jul-Sep; 31(3):223-5.
104. Saigal S, Nayak NC, Jain D, Kumaran V, Saraf N, Rastogi A, Mehta N, Nundy S, Soin AS. Non-cirrhotic portal fibrosis related end stage liver disease in adults: evaluation from a study on living donor liver transplant recipients. Hepatol Int 2011 Jan 12. [Epub ahead of print]
105. Gupta M, Nimbalkar S, Singla P, Kumaran V, Mehta N, Saluja S, Soin AS, Nundy S. Abdominal packing for surgically uncontrollable haemorrhage. Trop Gastroenterol 2010 Jan-Mar;31(1):61-4.
106. Sood D, Mohan N, Singh A, Buxi TB, Nundy S, Soin AS. Living donor liver transplantation for giant cavernous hemangioma of liver in a child. Pediatr Transplant 2011 Nov;15(7):E135-8.
107. Somashekar U, Gupta S, Soin AS, Nundy S. Functional outcome and quality of life following restorative proctocolectomy for ulcerative colitis in Indians. Int J Colorectal Dis 2010 Aug;25(8):967-73.
108. Soin AS, Raut V, Rastogi A, Goja S, Saigal S, Saraf N, Bhangui P, Sumana KR, Singla P, Srinivasan T, Choudhary N, Tiwari A, Raina V, Govil D, Mohan N, Vohra V. The use of ABO-incompatible grafts in living donor liver transplantation–first report from India. Indian J Gastroenterol. 2014 Jan;33(1):72-6.
109. Saigal S, Choudhary NS, Saraf N, Kataria S, Soin AS. Transmission of dengue virus from a donor to a recipient after living donor liver transplantation. Liver Transpl. 2013 Dec;19(12):1413-4.
110. Soin AS, Saraf N, Rastogi A, Goja S, Menon B, Vohra V, Saigal S, Sud R, Kumar D, Bhangui P, Ramachandra S, Singla P, Shetty G, Raghvendra K, Elmagd KM. India’s first successful intestinal transplant: the road traveled and the lessons learnt. Indian J Gastroenterol. 2014 Mar;33(2):104-13.
111. Pant V, Sen IB, Soin AS. Role of FDG PET CT as an independent prognostic indicator in patients with hepatocellular carcinoma. Nucl Med Commun. 2013 Aug;34(8):749-57.
112. Choudhary NS, Saraf N, Saigal S, Gautam D, Lipi L, Soin AS. Estimation of Normal Values of Serum Transaminases Based on Liver Histology in Healthy Asian Indians. J Gastroenterol Hepatol. 2014 Oct 28. doi: 10.1111/jgh.12836. [Epub ahead of print]
113. Tiwari AK, Pandey P, Aggarwal G, Dara RC, Rawat G, Raina V, Soin AS. Cascade plasmapheresis (CP) as a preconditioning regime in ABO-incompatible live related donor liver transplants (ABOi-LDLT). Transplant Res. 2014 Sep 12; 3:17. doi: 10.1186/2047-1440-3-17. eCollection 2014.
114. Saigal S, Choudhary N, Saraf N, Kotecha H, Kakodkar R, Rastogi A, Menon P, Goja S, Govil D, Vohra V, Soin A. Excellent outcome of living donor liver transplantation in patients with hepatopulmonary syndrome: a single centre experience. Clin Transplant 2013 Jul-Aug; 27(4):530-4.
115. Choudhary NS1, Saigal S, Saraf N, Rastogi A, Goja S, Menon PB, Mishra S, Mittal A, Soin AS. Sarcopenic obesity with metabolic syndrome: a newly recognized entity following living donor liver transplantation. Clin Transplant. 2014 Dec 31. doi: 10.1111/ctr.12505.
116. Choudhary NS1, Saraf N, Saigal S, Rastogi A, Goja S, Menon PB, Soin AS. Low-dose short-term hepatitis B immunoglobulin with high genetic barrier antivirals: the ideal post-transplant hepatitis B virus prophylaxis? Transpl Infect Dis. 2015 Feb 12. doi: 10.1111/tid.12369.

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  1. Laparoscopic Donor Nephrectomy – a major advance in kidneytransplantation. Transplant Trends 1999; 4: 1-2.
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  1. An association between cytomegalovirus infection and chronic rejection after liver transplantation. Transplantation 2000 Jan 15;69(1):30-5.
  1. Living related liver transplantation inchildren: first report of three successful cases in India. Indian Journal of PediatricSurgery 2000
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  1. Fibrolamellar hepatocellular carcinoma- Not a rare tumor in India and a possible new marker. Journalof Gastroenterology and Hepatology 2002;17(Suppl.):A1051:67.
  1. Mesocaval shunt using external iliac vein interposition graft as an alternative to TIPSS. Journal ofGastroenterology and Hepatology 2002;17(Suppl.):A1054:72.
  1. Middle hepatic vein outflow reconstruction in right lobe liver transplantation-Experience of two cases. Journal of Gastroenterology and Hepatology2002: 17(Suppl) : A 1034:24.
  1. Utility of CT angiography in defining segment 5 and 8 venous tributaries in adult – adult living donor liver transplantation: An Indian series. Journal of Gastroenterology and Hepatology 2002;17(Suppl.):A1034:25.
  2. Graftfunction and recepient complications after lapoaroscopic donor nephrectomy.Transplantation 2002;74(4)S:674
  1. Invited editorial on Liver Transplantation entitled “Liver Sutra” inHindustanTimes, 20 August 2003.
  1. Ethical dilemmas in living donor liver transplantation (Editorial).Issues MedEthics 2003; 11:104-5.
  1. Summary of proceedings of the First National Consensus Symposium on LiverTransplantation and Cadaveric Organ Donation. Indian Transplant, October 2003.
  1. Adult to adult living donor left lobe livertransplantation: does size really matter? Journal of Gastroenterology and Hepatology2004; 19 [S]: A 846.
  1. POSSUM as a predictor of mortality in liver resections. Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 844.
  1. Factors related to early mortality following transabdominal devascularisation procedure for acute variceal hemorrhage. Journal ofGastroenterology and Hepatology 2004; 19 [S]: A 735.
  1. A slinging technique for left donor hepatectomy. Journal ofGastroenterology and Hepatology 2004; 19 [S]: A 740.
  1. Choledochal cysts in adults: are they really different? Journal of Gastroenterology and Hepatology 2004; 19 [S]: A 756.
  1. Portal hyperperfusion in small for size left lobe liver graft successfully treated using somatostatin infusion. Journal ofGastroenterology and Hepatology 2004; 19 [S]: A 845.
  1. Aggressive management of 120 patients with gall bladder cancer – is it worthwhile? Journal of Gastroenterology and Hepatology2004;19 [S]: A 757.
  1. Distinguishing between periampullary carcinoids and carcinomas – is this possible preoperatively? Indian Journal ofGastroenterology, 2006 Jul-Aug;25(4):206-7.
  1. Sinistral Portal Hypertension, accepted as online multimedia presentation in J Pancreas (online) 2006; 7: 670-673.
  1. Transabdominal gastro-esophageal devascularization without transection for bleeding varices: Results and indicators of prognosis. J Gastroenterol Hepatol 2007; 22: 47-50.
  2. Evolution of a successful living donorliver transplant programme in India: an analysis of 36 consecutive cases. LiverTransplantation 2006; 12(5): ILTS C1-142.
  1. Evolution of a successful living donor livertransplant programme in India: an analysis of 36 consecutive cases. LiverTransplantation 2006; 12(5): ILTS C1-142.
  1. Liver Transplant: Indian Perspective,Hepatology Annual Update
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  1. Partial middle hepatic vein inclusion in right lobe grafts: A new donor friendlyapproach to better venous drainage of the anterior sector ; Liver Transplantation 2007; 17: ILTS P17 -1.
  1. Impact of MHV inclusion in right lobe living donor liver transplantation;LiverTransplantation 2007; 18: ILTS P18 -1
  1. Emergency living donor liver transplantation for fulminant hepatic failure; Liver Transplantation 2007; 134: ILTS; P134 -1
  1. Adult to adult living donor liver transplantation: Is a graft/body/weight ratioless than 0.8 Safe?; Liver Transplantation 2007; 155: ILTS
  1. Management of recipients with portal vein thrombosis is live donor livertransplantation: Experience from one center; Liver Transplantation 2007; 157: ILTS
  1. Living donor liver transplantation for patients with cirrhosis and renaldysfunction; Liver Transplantation 2007; 159: ILTS
  1. Two hundred and forty one consecutive liver resections: an experience from India. HPB(Oxford). 2007;9(1):29-36
  1. A successful deceased-donor liver transplant program is not aprerequisite for a living-donor program. Indian J Gastroenterol. 2006; 25(6):305-7.
  1. Recanalized umbilical vein as a conduit for anterior sectorvenous outflow reconstruction in right lobe grafts. 2007 Jun;141(6):830. Epub 2007 Apr 17.
  1. Liver transplantation in India: its evolution, problems and the way forward.,Natl Med J India. 2007 Mar-Apr;20(2):53-6.
  1. What are the essential components of a transabdominal devascularization procedure for bleeding esophageal varices? World J Surg. 2007 Apr;31(4):861-2.
  1. Escalation scheduleof triple drug immunosuppression in living donor liver transplantation: less is better. Transplant International 2007, 20 [suppl 2]: 32.
  1. Technical innovations can reduce biliary complications in living donor liver transplantation. TransplantInternational 2007, 20 [suppl 2]: 297.
  1. Living Donor Liver Transplantation in India: feasible and beneficial. Tropical Gastroenterology
  1. Liver Transplantation : Indian Perspective.Hepatology Update2007
  1. Use of banked cryopreserved veins from explanted recipient livers in living donor liver transplantation. Surgery 2008;144:93-5.
  1. Isolated Loop Pancreatic Remnant Drainage Following Pancreaticoduodenal Resection. Hepatogastroenterology 2008, 55:677-680.
  1. Portal vein stenosis following living donor liver transplant: Manifestations and management. TransplInt. 2009Apr;22(4):496-9. Epub 2008 Dec 3.
  1. Malignant masquerade at the hepatic hilun. Indian J Surg 2008;70:334-5.
  1. Small bowel enterocutaneous fistulae: The merits of early surgery. Indian J Surg 2008;70:303-7.
  1. Improving outcome of liver resection in patients with colorectal metastases. NatlMed J India 2008 Jul-Aug;21(4):185-6.
  2. Liver hemangioma mimicking cholangiocarcinoma – a diagnostic dilemma. Trop Gastroenterol 2009; 30: 44-6.
  1. Does the presence of a lump or jaundice in a patient with gall bladder cancer mean the lesion is not respectable.Dig Surg 2009;26:306-311.
  2. Right-sided diaphragmatic hernia in an adult after living donor liver transplant: a rare cause of post-transplant recurrent abdominal pain. Hernia. 2009 Dec 3. [Epub ahead of print]
  1. End-stage nonalcoholic fatty liver disease: evaluation of pathomorphologic features and relationship to cryptogenic cirrhosis from study of explant livers in a living donor liver transplant program. Hum Pathol. 2009 Nov 30. [Epub ahead of print]
  1. Soin A, Kumaran V, Mohanka R, Mehta N, Mohan N, Nundy S. Bridge venoplasty: Anew technique to simplify venous outflow reconstruction in living donor domino liver transplantation. Surgery 2009 Oct 26. [Epub ahead of print]
  1. Soin AS, Kumaran V, Rastogi AN, Mohanka R, Mehta N, Saigal S, Saraf N, Mohan N,Nundy S. Evolution of a reliable biliary reconstructive technique in 400 consecutiveliving donor liver transplants. J Am Coll Surg 2010 Jul;211(1):24-32. Epub 2010 May 15.
  1. Soin AS, Mohanka R, Singla P et al. Segment IV preserving middle hepatic vein retrievalin right lobe living donor liver transplantation. J Am Coll Surg 2011 Aug;213(2):e5-e16. Epub 2011 Jun 8.
  1. Excellent outcome of living donor liver transplantation in patients with hepatopulmonary syndrome: a single centre experience. Clin Transplant 2013 May 31.
  1. Role of 18F-FDG PET CT as an independent prognostic indicator in patients with hepatocellular carcinoma. Nucl Med Commun 2013 May 17. [Epub ahead of print].
  1. Liver Transplantation for HCC: A Review.Indian J Surg2012Feb;74(1):100-17.
  1. Innovative approach using an intragastric balloon for weight loss in a morbidly obese patient undergoing liver transplantation. Liver Transpl 2013 Feb;19(2):235.
  1. Smoothing the path: reducing biliary complications, addressing small-for-sizesyndrome, and making other adaptations to decrease the risk for living donor liver transplant recipients. Liver Transpl 2012 Nov;18 Suppl 2:S20-4
  1. Etiologic types of end-stage chronic liver disease in adults: analysis of prevalence and their temporal changes from a study on native liver explants. Eur J Gastroenterol Hepatol 2012 Oct;24(10):1199-208.
  1. Gastrointestinal mucormycosis–four cases with different risk factors, involving different anatomical sites. Indian J Gastroenterol 2012 Jun;31(3):139-43.
  1. Roux loop obstruction by an enterolith formation around migrated endobiliary stent. TropGastroenterol 2011 Jul-Sep;32(3):240-1.
  1. Non-cirrhotic portal fibrosis: one disease with many names? An analysis from morphological study of native explant livers with end stage chronic liver disease. J Clin Pathol 2011 Jul;64(7):592-8.
  1. Blunt abdominal trauma, acute mesenteric venous thrombosis and small bowel stricture. Trop Gastroenterol 2010Jul-Sep;31(3):223-5.
  1. Non-cirrhotic portal fibrosis related end stage liver disease in adults: evaluation from a study on living donor liver transplant recipients. Hepatol Int2011 Jan 12. [Epub ahead of print]
  1. Abdominal packing for surgically uncontrollable haemorrhage.TropGastroenterol 2010 Jan-Mar;31(1):61-4.
  1. Living donor liver transplantation for giant cavernous hemangioma of liver in a child. Pediatr Transplant 2011 Nov;15(7):E135-8.
  1. Functional outcome and quality of life following restorative proctocolectomy for ulcerative colitis in Indians. Int JColorectal Dis 2010 Aug;25(8):967-73.
  1. The use of ABO-incompatible grafts in living donor liver transplantation–first report from India. Indian J Gastroenterol. 2014 Jan;33(1):72-6.
  1. Transmission of dengue virus from a donor to a recipient after living donor liver transplantation. LiverTranspl. 2013 Dec;19(12):1413-4.

1. Several chapters in “Textbook of Tropical Gastroenterology, vol 1. Hepatobiliary Diseases. Tandon BN, Nundy S (eds). New Delhi: Oxford University Press, 1987.
2. Chapters in and index of “Better Medical Writing in India”. Smith J, Pande GK, Nundy S. New Delhi: The National Medical Journal of India, 1988.
3. Several chapters in Dunn and Rawlinson’s Surgical Diagnosis and Management (Tropical Edition). Nundy S (ed). New Delhi: Oxford University Press, 1991.
4. Soin AS, Sharma LK. Primary Hyperthyroidism. In: Gupta RL (ed). Recent Advances in Surgery, Vol 3. New Delhi: Jaypee Brothers Pvt Ltd., 1992: 174-80.
5. Tokat Y, Rasmussen A, Watson CJE, Saxena R, Soin AS, Friend PJ, Jamieson NV, Calne RY. Retransplantation for early graft failure in liver transplantation. In: Haberal M (ed). Transplantation. Ankara: Haberal Egitim Vakfi 1994: 105-12.
6. Toogood G, Soin AS, Friend PJ et al. A single centre’s experience of a thousand liver transplants. In: Clinical Transplants 1996, Terasaki P (ed).
7. Soin AS, Friend PJ. The Role of Liver Transplantation in Budd-Chiari Syndrome. In: Case Studies in Liver Transplantation. Neuberger J, Mayer D (eds). London: Mosby, 1998.
8. Sibal A, Soin AS, Rajasekar MR. Liver Transplantation children. In: Gupta DK (ed). Advances in Pediatric Surgery, New Delhi: Oxford University Press, 2000.
9. Soin AS. Current status of living donor liver transplantation. GI Surgery Annual 2002;9:79-100.
10. V Kumaran, AS Soin. Multi-organ Retrieval From a Brain Dead Deceased Donor: Liver Harvest. In: “Organ harvest from a brain dead deceased donor”. S Shroff (ed), Chennai, 2009 (in press).
11. AS Soin. Liver Transplantation. In: Recent advances in Surgery 12. RL Gupta (ed). Meerut, 2009 (in press).
12. S Saigal, A Basnotra, AS Soin. Management of Hepatitis B in the Peri-transplant period. In: Hepatology Annual 2009, New Delhi, 2009 (in press).
13. Liver Transplantation. AS Soin, S Nundy (Eds). New Delhi, Elsevier, 2010.
14. AS Soin, M Nayeem. Liver Harvest from a Live Donor: Right Lobe and its Variations. GI Surgery Annual, Operative Supplement.
15. AS Soin, A Rastogi. Live Donor Liver Transplantation – donor selection, safety, and techniques of donor hepatectomy. IASG Book of Surgical Gastroenterology. Byword Publishers, 2012.

International

2002, Organising member,and Secretary, Scientific Committee for Liver Transplant
7th Congress of the Asian Society of Organ Transplantation (CAST) at New Delhi, March 2002, and Incharge of the Scientific Committee for the Liver Transplant Programme in the above meeting
2006, Co-Chairperson, Organising Committee
India’s First International Update on Adult Live Donor Liver Transplantation, 20 August 2006. India Habitat Centre, New Delhi 2008, Organising Chairman for the LICAGE International Symposium on Perioperative care in Liver Transplantation held at New Delhi from 7-9 November 2008.
2011, Organising Chairperson, International Liver Symposium I, Gurgaon, India.
2014, Organising Chairperson, International Liver Symposium II, Gurgaon, India.

National

2003, Organising Chairperson, India’s First National Consensus Symposium on “Liver Transplantation and Cadaveric Organ Donation” held in New Delhi on 2 Feb 2003.
2006, Organising Co-Chairperson, Committee, for the mid-term meeting on “Liver Transplantation”, Indian Association of the Study of Liver, held in New Delhi, October 2006.
2012, Course Director and Organising Chairman, Transplant Hepatology Course I, Medanta-The Medicity Hospital, Gurgaon, India.
2013, Course Director and Organising Chairman, Transplant Hepatology Course II, Medanta-The Medicity Hospital, Gurgaon, India.

1. Life member of Association of Surgeons of India
2. British Transplantation Society
3. Royal College of Surgeons of Edinburgh
4. Royal College of Physicians and Surgeons of Glasgow
5. Indian Society of Organ Transplantation
6. Indian Society of Gastroenterology
7. Indian Association of Surgical Gastroenterology
8. Indian Society of Nephrology
9. Asian Society of Organ Transplantation
10. International Society of Liver Transplantation
11. Founder Member and Trustee of the Human Organ Procurement and Education (HOPE) Trust
12. International Association of Surgeons, Gastroenterologists and Oncologists

Member, National Advisory Board for use of calcineurin inhibitors in Transplantation, and Chief Co-ordinator for Liver Transplantation.
Member, National Consultative Forum to set guidelines for use of recombinant Factor VIIA in clinical practice.
Member, National Advisory Committee on Organ Donation (Government of India).
Member and Treasurer, Executive Committee, Indian Association of Surgical Gastroenterology (IASG)
Chairman, Indian Section of International Association of Surgeons, Gastroenterologists and Oncologists (IASGO)
Member, Editorial Board, Journal of Hepatology 2014 onwards
Member, Editorial Board, Indian Journal of Transplantation 2009-2012
Vice-President, Indian Society of Organ Transplantation 2012-2014
Honorary Fellowship
Bestowed Honorary Fellowship of the King George Medical College at the Annual Convocation in 2007.
Visiting Professorship
Appointed Visiting Professor (Liver Surgery) at K.E.M. Medical College/ Hospital, Mumbai – 2009
.

FAQs

What does a liver transplant surgeon do?

A liver transplant surgeon is a highly specialized professional responsible for the surgical replacement of a failing liver with a healthy one, either from a deceased or living donor. These surgeons work in close collaboration with anesthesiologists, hepatologists, and a multidisciplinary medical team to ensure a smooth and successful transplant. The procedure involves meticulously removing the diseased liver and carefully attaching the donor liver to the patient’s bile ducts and blood vessels. Beyond the surgery itself, the surgeon oversees the patient’s recovery, vigilantly monitoring for complications such as infection or organ rejection, and adjusting medications to promote long-term transplant success.

How do I choose the right liver transplant surgeon?

Choosing the right liver transplant surgeon is critical to achieving a successful outcome. Start by selecting a surgeon who has significant experience in both living and deceased donor transplants. Surgeons affiliated with reputable hospitals or liver transplant centers, where advanced technology and strong support teams are available, are often a safer choice. It is important to research their success rates and complication statistics, which are often accessible through patient reviews or hospital records. Ensure that the surgeon holds board certifications in both general and transplant surgery. Key attributes to look for include transparency, prompt communication, and personalized care before, during, and after surgery.

How many liver transplants should a surgeon have performed?

A liver transplant surgeon’s experience is pivotal to the procedure’s success. Although many accomplished surgeons may have performed several hundred transplants, a surgeon is generally considered experienced after completing at least 50–100 liver transplants. Surgeons with a higher case volume tend to have superior outcomes, as they are more familiar with the complexities and potential risks associated with liver transplantation.

What qualifications does Dr. Arvinder Soin have as a liver transplant surgeon? 

Dr. Arvinder Singh Soin is a world-renowned liver transplant surgeon with an impressive list of accomplishments. He has performed over 4,500 liver transplants, making him one of the most experienced surgeons both in India and globally. Dr. Soin received his medical training at the prestigious All India Institute of Medical Sciences (AIIMS) and further honed his expertise at leading centres for liver surgery and transplantation in the UK. Currently, he serves as the Chairman of the Liver Transplant and Biliary Sciences division at Medanta – The Medicity. Dr. Soin specializes in complex liver transplants, including pediatric cases and living-donor transplants, and is a pioneer in adopting innovative techniques in liver surgery.

How long will I need to see my liver transplant surgeon after the operation? 

Post-operative care is crucial following a liver transplant and often extends for many years, potentially for life. In the initial one to two months after the surgery, patients typically need to visit their surgeon once or twice a week for close monitoring, to assess for signs of organ rejection, and to adjust immunosuppressive medications. As recovery progresses, the frequency of visits decreases, but ongoing follow-ups remain essential. After the first year, patients are generally seen every three to six months, depending on their health status. Long-term monitoring ensures the liver continues to function well and remains in optimal condition.

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