Deceased organ donation is the procedure of donating an organ or part of the organ at the time of a donor’s death for transplantation to another person. To become an organ donor, oxygen and blood flow through the organ are necessary until the transplant to ensure viability. This can happen when a donor dies under conditions that lead to a fatal brain injury, causing swelling, bleeding, or the absence of oxygen to the brain.
A Deceased Donor Liver Transplant (DDLT) is one of the most commonly performed liver transplants. When you do not have a living compatible family member to donate their part of the liver, the only option is a liver donation through a deceased or cadaveric (brain death) person. Read on to learn everything about a deceased liver donation registration.
A Deceased Donor Liver Transplant involves surgically replacing an unhealthy or diseased liver (that no longer functions normally) with a healthy liver from the deceased donor. This is also medically referred to as Cadaver Liver Transplantation. The liver is donated from a deceased donor either after brain death or circulatory death. Generally, these deceased donors are registered organ donors. However, in some cases, the family members decide to donate the deceased’s organs to save someone’s life after the donor's death.
Once the person is declared dead, the surgeon removes the liver and places it in a sterile fluid. The recipient of the liver is informed, and the surgeon schedules a date for the surgery as the liver can only survive for 12 hours under strict conditions outside the body.
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The liver donation from the deceased person can be made either after a brain or circulatory death.
Donation after Brain Death (DBD) donors: Approximately 75 out of 100 livers donated by deceased donors are from donors whose brain stops working and are declared brain dead.
Donation after Circulatory Death (DCD) donors: Approximately 25 out of 100 livers donated by deceased donors are from donors whose heart stopped working and are declared circulatory dead. This type is a newer process of liver transplantation.
Before undergoing a liver transplant, the recipient must be registered online to identify a matching donor for a liver transplant. The recipient registration and listing are done by the following steps:
Usually, there is no restriction on organ donation, and you can donate one or more of your organs and tissues at any age. There are two ways to become an organ donor:
The registration for organ donation can be done at both state (Reginal Organ and Tissue Transplant Organization - ROTTO) and national (NOTTO) levels. The state-wise waiting list of patients is maintained by State Organ and Tissue Transplantation Organization (SOTTO).
The allocation for the donated liver is done as follows:
Although the national waiting list for organ transplants helps allocate livers to those most in need, the demand for livers surpasses the supply. Despite their names on the waiting list, several people die in India due to the unavailability of livers. The need of the moment is to spread awareness about organ donation. Pledge your organs TODAY to save a life in the future!
You can get in touch with an HexaHealth expert for any queries you may have about the registration of a deceased liver donor. We provide the best care and zero-cost surgery assistance. We take care of hospital admissions, insurance claims, and other paperwork at zero cost. Our team of 1500+ expert doctors will assist you throughout the treatment, from registration to recovery after liver transplantation.
The transplant waiting list lists all people who need an organ transplant by receiving an organ from a deceased donor.
A waiting list consists of a candidate pool. Every donor has a list of potential recipients that match certain medical levels, such as blood group and liver size. The best-matched recipient on the waiting list is contacted by their transplant centre for liver transplantation.
Before joining the transplant waiting list, you will undergo a series of evaluations at the transplant centre to determine whether you are fit for the surgery and your chances of surviving the transplant. Each transplant centre has its guidelines to determine who can get a liver transplant. If the centre approves, your name will be added to the waiting list.
The waiting period for liver transplantation can range from 30 days to more than five years. The wait time depends on several factors such as availability, donor match, overall health, and the severity of your condition. As you wait for a liver transplant, you will regularly meet with your transplant team to evaluate the progression of liver disease and provide resources to help you stay healthy.
You can become a donor by pledging your organs and registering yourself at the state (SOTTO) or national (NOTTO) level.
Donor registration is a simple procedure. You must complete an online pledge form at 'www.organindia.org', and your pledge will be registered with NOTTO.
Anyone can register for organ donation regardless of age, race, or gender. A person under 18 years will need the consent of a parent or legal guardian.
Registration to become an organ donor is a decision that can save or drastically improve the lives of up to eight people. It can be a step towards bridging the gap between the demand and supply of organs for transplantation.
No, there is no cost to the donor’s family for donating an organ, eye, or tissue. The family only needs to pay medical expenses before death.
Yes, the HIV Organ Policy Equity (HOPE) Act offers both donation and transplantation opportunities for people with HIV. The act allows people with HIV who were earlier excluded from the donor pool to donate organs.
No, the available organs from the donor are matched with the recipients on the waiting list based on blood group, body size, the distance between donor and recipient, and the time on the list. Gender, race, social and financial status are never considered for organ allocation.
NOTTO stands for The National Organ and Tissue Transplant Organization. It is a national-level organization set up to overlook the activities of procurement and distribution of organs.
NOTTO functions as an apex centre for all activities related to coordination and networking with other states to procure and distribute organs and tissues in India. It is responsible for disseminating information to all concerned hospitals and organizations.
While NOTTO is a national-level organization for a national registry of donors and recipients, ROTTO is a regional-level organization responsible for networking and coordination when an organ is allocated outside the state.
You can still register as a donor in the National Donate Life Registry even when registered in your state registry. Registering in one does not conflict with your registration in another.
Gender identity or sexual orientation has no relation to organ donation. Anyone can register as an organ donor.
Like organ donation, gender identity plays no role in eye and tissue donation. However, certain mandated regulations by the Food and Drug Administration (FDA) can affect your eligibility for eye or tissue donation.
Your gender identity or sexual orientation does not prevent you from receiving an organ transplant. The organs from the donor are matched with the people on the waiting list through a national system based on blood group, body size, and waiting time.
One must wait for a cadaver liver donation when they do not have a living family member whose blood group and liver size match theirs.
Last Updated on: 12 July 2023
MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES
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Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More
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