Frequently Asked Questions

Why do we need liver transplantation?
Because liver transplantation is the only treatment for liver cirrhosis and liver cancer.
Can anyone's organ be transplanted to anyone?
No! first of all for liver transplantation you need to have a blood group compatable liver. The liver should be in good quality (no liver disease, no fat). And if it is a living donor liver transplantation you need to have a enough volume and good anatomy.
Can the organs I donate be sold for money?
No, they cannot be sold. When the organs of a dead person are donated, a coordination system is implemented. As a requirement of this system, the donated organs are notified to the Regional Coordination Center of Ministry of Health, and from there to the National Coordination Center. The distribution of organs to the centers is determined as result of such notifications. Each organ donated in this way is a national asset and it can be transplanted only to a person approved by the system. In such a system, the organ of any person cannot be sold for money being to anyone.
Considering that the organ transplant is an area open to abuse, how is the system controlled?
The system is so complex as not be saved from auto control and it requires a crowd team. There are so many people in the system, and to it is not possible to cover any potential sale. Therefore, there can be no abuse especially in the donations of cadaveric donor organs. Likewise, there is no event found in judicial registries. The abuses in donations made by living donor cannot be hidden, either. Those abuses are made by taking advantage of gaps in law, as it is known by everyone.
Can the information taken during organ transplantation be captured by organ traders?
No! These information are never adequate for organ transplantation.
What is the difference between brain death and real death?
There is no difference. Although it caused much confusion due to being discussed frequently, human death occur in one manner and we call it brain death. A human whose brain had not died cannot be regarded as dead, even if all of his organs, including heart cease to run. The patients whose hearts are stopped for hours during bypass operations stay alive since their brain is alive, and their heart is reran after the operation. To the contrary, the other organs and heart of a dead person (whose brain has died) can be run for two or three days. The factor determining a person's death or living is brain. If his brain is living, then he is alive. If his brain is dead, then he is dead, too. The most crucial indicator of this fact is breath. When breath ends, life ends, too and this has nothing to do with the beating of heart. Interestingly, to the contrary of what is believed, in our religion and in Islamic sufism, death is considered as related to the cessation of breath, not of heart beat.
What is the difference between brain death and persistent vegetative state?
As its said one indicates life, while the other indicates death. Persistent vegetative state is a way of life in which the person has not died. And he can breathe Disorder is seen in brain functions. Therefore, the person is totally alive, although he lays like a dead person and if he has chance, he may recover and stand up after many years. On the other hand, brain death refers to a full and precise death and as we all know, death is an irrevocable concept.
What does Cadaver Coordination Systems mean?

Such organizations called in the west as "Donor Action", are established for increasing the availability of cadaveric organs in the country.

Failing to make transplantation due to the lack of organ is not peculiar to our country, but is the problem of all the countries across the world. However, in terms of volume, the problem in our country can be called as disaster. Today, while the number of cadaver donors as per one million population is 20-35 the figure is about 3 in our country.

For this reason, studies on establishing some organizations were initiated, relying on the Western examples. The purpose is to ensure that so many people who lose their lives due to the lack of organ can be saved.

Do the family members or the state reimburse the hospital expenses of a patient whose brain has died during the intense care and whose organs are donated, but who do not have any social insurance? Is money paid to the family of such patient?
There are not sufficient laws on this issue, yet. There are still problems arising from the hospital managements on bearing the expenses of donors. Even though in general the expenses of donors are cleared by the hospital management, Money is never paid to the familİes of the patients.
Is the body unity preserved during the organ transplantation operation?
The procedure of taking out organ from the cadaver is carried out with as much care as in an operation on the living person. If possible, aesthetic stitch is applied to the body after the organ is taken out, and utmost care is paid to not harming the body in any way. Those bodies are sacred for doctors who know their value very well and they deserve great respect.
Is there any age limit for organ donation?
No. Even though the age of donor causes a certain level of risk depending on the organ to be used, it might be possible to use organs at any age and under any condition for the receivers whose illness has reached to an unrecoverable point. But for live. Liver donors the age should be between 18 and 55 years of old.
May I give up donating my organs?
Yes. For giving up, the only thing to do will be to tell this to your relatives who will decide on your donation. Even if you have donation card, your organs will not be taken, unless your relatives permit.
Which organs can be transplanted?
Today, the transplantation of major organs such as heart, lungs, intestines, pancreas, kidneys, liver is performed with accomplishment. In addition, there is a wider area of application for tissue transplantation such as bone marrow, cornea, none and tendon. In our country, hearth, liver, pancreas and kidney transplantations are the most common and successfully performed transplantations in the group of major organs.
Does the fact that I have donated organ affect my medical care in emergency service?
Such a situation cannot happen. The priority is always saving the life of patient. The doctors and nurses dealing with the patient in emergency services have no relation with the organ transplantation team. The duty of these teams is to save the life of patients.
Does giving some part of my liver or one of kidneys to my brother or sister affect my health condition?
No. You can definitely donate. There is a wide investigation before the transplantation process, so everythıng about your health is learned. The main aim of this operation is not to harm the donating person.
What is the success rate in organ transplantations in Turkey?
In our country, the organ transplantations are performed in global standards and it is even above the global standard. The success rate in transplantation liver in our country is above 90%.
How can we find the organs for transplantation?
The organ needed for liver transplant is provided from the dead donors diagnosed with brain death, or some part of liver is taken from the living donors.
How is body's accepting or rejecting the organ transplanted?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
What is the procedure for proceeding with liver transplant?

You should seek an appointment with Dr Tokat who will assess the need for a transplant, your fitness for it and counsel you regarding all aspects of the procedure.

If a transplant is thought suitable, you will then need a suitable donor from the family. The other option is to wait for a cadaveric organ (organs donated voluntarily by families of brain dead patients before artificial life support is withdrawn) but that wait can be very long since the cadaveric organ donation rates in Turkey are very low.

Who can be a liver donor?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Is liver donation safe?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Are life-long medicines necessary after liver transplant?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
After a liver transplant, does a person have high infection rates and lead a very restricted life?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
How long should the transplant patients use immunosupressive drugs?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
How much of the liver is taken from the live donors?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
What is the risk for liver donor? Will he or she face any problem in the future?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
When does the transplanted patient return to normal life after the surgery?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
What is the cost of surgery?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
How long is the surgery and the intensive care after the transplantation?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
What are the tests applied to the patient and the donors?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
What are the things to be paid attention to before or after the surgery?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Can the patient do sports after the transplantation?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Is it allowable to use alcohol after the transplantation?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Are the patients evaluated in terms of their psychological conditions before the transplantation?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Can the patients return to normal sexual life after the transplantation?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Can the person having transplant go to the sea or go out when there is sun?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Do the people having transplantation bear more infection risk than normal people?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
Can the patient have plastic surgery afterwards?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.
How many days after the surgery can the patient have bath?
Whether from a living donor or from a donor diagnosed with brain death, to the transplanted liver is a "foreign" tissue. Therefore, the person to whom the liver is transplanted must use during his or her lifetime some immunosuppressive drugs preventing the rejecting of organ. However, thanks to the new immunosuppressive drugs, there are rare losses due to the organ rejection after transplantation.

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You can ask us anything about LIVER TRANSPLANTATION and your liver disease. You can also send us your previous research results for a MEDICAL SECOND OPINION.

Liver Transplantation

YAMAN TOKAT, MD

Professor Yaman Tokat and Professor Yildiray Yuzer with their more than 18 years of experience in the field of liver transplantation performed more than 800 live donor liver transplantations being number one in Europe.

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