Liver transplant in Nepal is a highly regulated, step-by-step medical and legal process designed to ensure patient safety, donor protection, and ethical practice.

At Inova Hospital, Kathmandu, we guide patients through the entire transplant journey, from initial evaluation to long-term recovery.

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👨‍⚕️ Transplant Team Leadership

The process is led by:

👉 Dr. Sanjay Kumar Yadav

• Liver Transplant & Hepatobiliary Surgeon
• Visiting Consultant at Inova Hospital
• Experienced in managing transplant cases in Nepal

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🧩 Step-by-Step Liver Transplant Process in Nepal

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1. 📩 Initial Consultation & Report Review

• Patient shares medical reports (LFT, ultrasound, CT, etc.)
• Assessment of liver disease severity
• Decision whether transplant is required

👉 Many patients are filtered here if transplant is not yet needed

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2. 🏥 Detailed Evaluation at Inova Hospital (Kathmandu)

This is a critical phase done physically at Inova.

For Patient:

• Complete blood tests
• Viral markers (Hepatitis B/C)
• Imaging (CT/MRI liver)
• Cardiac and general fitness evaluation

For Donor:

• Blood group compatibility
• Liver volume assessment (CT volumetry)
• General health screening
• Psychological evaluation

👉 Both donor and patient must be medically fit

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3. 📑 Legal & Government Approval (Nepal Specific)

This is where Nepal differs from many countries.

Required:

• Donor must be a close relative (as per law)
• Relationship proof documents
• Consent forms

Approval Process:

• Hospital transplant committee review
• Government authorization committee approval

👉 No transplant is performed without legal clearance

👉 Inova Hospital manages:

• Documentation
• File preparation
• Submission process

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4. 🏥 Pre-Operative Optimization

Before surgery:

• Patient stabilization (especially in cirrhosis cases)
• ICU care if required
• Nutrition improvement
• Infection control

👉 This step is crucial for survival and outcome

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5. ⚕️ Liver Transplant Surgery (Kathmandu)

• Surgery performed in a specialized transplant facility in Kathmandu
• Conducted by transplant team led by Dr. Sanjay Kumar Yadav
• Living donor transplant is most common

During Surgery:

• Diseased liver removed
• Donor liver portion implanted
• Blood vessels and bile ducts connected

👉 Surgery usually lasts 8–12 hours

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6. 🛌 ICU Care (Immediate Post-Surgery)

After surgery:

• Patient shifted to ICU
• Ventilator support (if required)
• Continuous monitoring

Focus:

• Liver function
• Infection control
• Bleeding management

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7. 🏥 Hospital Recovery Phase

Typical Stay:

• Donor: ~2 weeks
• Patient: ~4 weeks

During Stay:

• Gradual mobilization
• Oral intake started
• Medication adjustments
• Monitoring for complications

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8. 🔁 Post-Operative Follow-Up (At Inova Hospital)

After discharge:

• Regular OPD follow-ups
• Liver function monitoring
• Immunosuppressive medication guidance
• Infection prevention

👉 Long-term follow-up is done at Inova Hospital

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⏱️ Total Timeline in Nepal

Stage	Duration
Evaluation	1–2 weeks
Approval process	1–2 weeks
Surgery + hospital stay	4–6 weeks
Full recovery	3–6 months

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⚠️ Key Factors for Success in Nepal

• Early referral before severe liver failure
• Proper donor selection
• Legal clearance completion
• Strong ICU support
• Strict post-transplant follow-up

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🇳🇵 Unique Points About Nepal Transplant System

• Living donor transplant is primary method
• Strict legal framework protects donor
• Growing transplant expertise in Kathmandu
• Cost significantly lower than India

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🔗 Related Pages

👉 Full transplant program → /liver-transplant-nepal/
👉 Cost details → /liver-transplant-cost-nepal/
👉 Recovery guide → /liver-transplant-recovery-nepal/

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⭐ Why Choose Inova Hospital for Transplant Process?

• Complete coordination from start to finish
• Expertise in handling Nepal legal process
• Strong pre and post transplant care
• Direct access to transplant team
• Patient-focused system

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📞 Start Your Transplant Journey

👉 Send your reports for evaluation

📱 WhatsApp: +977-9802348721
📍 Inova Hospital, Lazimpat, Kathmandu

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📢 Call to Action

Understanding the process reduces risk and saves time.
Contact Inova Hospital today for expert guidance.