Liver Transplant Recovery & Follow-up (2024)

Your Recovery

The liver transplant team at Lahey Hospital & Medical Center works with you to make sure you have the smoothest recovery possible. We have a transplant wellness program and support groupsto help you during recovery. We also coordinate follow-ups with your primary care team. You’ll see our specialists at least annually for the rest of your life.

After a liver transplant, most people are in the hospital for about seven to 10 days. You will start taking anti-rejection medications immediately after surgery. Usually, patients in our transplant program take at least one anti-rejection medication for the rest of their lives.

Support at Home

When you arrive home after your liver transplant, you should begin to do muscle toning exercises and walk five to 10 minutes each day. You can slowly increase the time each week to enhance overall recovery.

We arrange for a nurse from home care services to come to your home for the first three weeks after your discharge. Visiting nurses are the eyes and ears of our transplant team after your discharge. They check your medications, vital signs, incisions, drains and look for signs of infection. Depending on your condition, you may have daily visits or see the nurse three times per week. Home visits continue until you are healthy enough to take care of yourself.

Taking Anti-Rejection Medications

When a foreign object enters the body, the immune system recognizes it as unfamiliar and tries to destroy it to protect you. Your body views your transplanted liver as a foreign object and will try to destroy it. The process is called rejection, and to combat it, you’ll have to take several medications called immunosuppressants that prevent your immune system from attacking your new liver.

Your first dose of immunosuppressants takes place at the time of your surgery, and you’ll need to take them for as long as your transplanted liver is functioning within your body. Some of the medications have side effects, so you may have to take additional medications to counteract these unwanted effects.

Our post-transplant nurse coordinator and our transplant pharmacist can help educate you on all aspects of your medications. They will provide you with a card that describes the medicines you need to take as well as their side effects, and the time, frequency and amount of each you should take.

Remember that after you leave the hospital and are finished with VNA visits, correctly taking your medications is your responsibility. You should call our transplant office if you miss a medication dose or have other concerns.

Liver Transplant Recovery Times

A typical recovery timeline:

  • In one month: The staples are removed from the incision area at the transplant center.
  • In one and a half months: Your bile tube and drainage tubes are removed during a clinic visit.
  • In two months: You may lift up to 15 pounds.
  • In three months: You may begin jogging.
  • In three to six months: Your liver incisions have healed. You may also go back to work. Some people choose to return part-time if still experiencing fatigue.
  • In one year: You may begin playing sports and weightlifting. However, you should get the transplant team’s approval before doing these activities.
Liver Transplant Recovery & Follow-up (2024)

FAQs

How long does it take to fully recover from a liver transplant? ›

Most people are able to return to their daily routine within three months after the transplant, and many of them even earlier. Recipients have been known to live a normal life 30 years after the operation.

How many days are critical after liver transplant? ›

Most patients are hospitalized for 7 to 10 days after liver transplant. Afterwards, they generally recuperate at home and typically return to work or school after about 3 months.

What types of follow up care are required after a liver transplant? ›

After the transplant, you must take medicine to keep your body from rejecting the new liver. You will need to take anti-rejection medicine every day from now on. These medicines have side effects. One side effect is that your body may be less able to fight infections.

What is a major health concern after a liver transplant? ›

After a liver transplant, more than 1 in every 10 people experience a problem affecting their biliary tract, such as a bile leak or an obstruction caused by scar tissue in the bile ducts. If you have a bile leak, the bile may need to be removed from the abdomen by inserting a drainage tube.

How long do you need a caregiver after a liver transplant? ›

Help at Home After Liver Transplant Surgery

You must have a caregiver with you 24 hours a day for at least 6 weeks after you leave the hospital. Being a caregiver is a big responsibility. You may need more than one person to help you for the first few months after your liver transplant.

What is the quality of life after a liver transplant? ›

Overall, many studies have proven significant improvements in general and mental health, vitality, social and physical functioning[1,16]. Physical QoL: Overall, physical health starts improving after the first month after transplantation.

What not to do after a liver transplant? ›

Avoid alcohol

If your liver transplant was due to an alcohol-related disease, you must never drink alcohol again as you risk harming your transplanted liver. This also applies if alcohol was thought to have contributed to your liver disease, even if it was not the main cause.

What is the 6 month rule for liver transplant patients? ›

Purpose: Liver transplants due to alcohol related liver disease (ALD) have increased. Severe ALHep is associated with high mortality rate. Traditionally, being liver transplant candidate requires “six months of abstinence” from alcohol.

What is the average life expectancy after a liver transplant? ›

On average, most people who receive LT live for more than 10 years. Many may live for up to 20 years or more after the transplant. A study says 90% of people with transplant survive for at least 1 year, and 70% of people may live for at least 5 years after transplant.

Do you need physical therapy after a liver transplant? ›

The transplant team will help develop an exercise plan that's safe and individualized for your child's needs. Physical therapy is a very important part of your child's recovery and healing.

What fruits to avoid after liver transplant? ›

Most foods and drinks are completely safe for you to take after transplant. Please AVOID grapefruit, pomegranate, pomelo, blood orange, and black licorice, as these can increase the amount of anti- rejection medication in your body and this could harm you.

What is critical care after liver transplant? ›

Intensive care management of liver transplanted patients mainly centers on rapid hemodynamic stabilization, correction of coagulopathy, early weaning from mechanical ventilation, proper fluid administration, kidney function preservation, graft rejection prevention, and infection prophylaxis.

What is the most critical time after liver transplant? ›

The risk of organ rejection is highest 3 to 6 months after receiving a new liver. If your body is rejecting its new liver, you might notice symptoms like: Feeling tired. Pain or tenderness in your abdomen.

What are the personality changes after liver transplant? ›

Patients after liver transplantation are often impacted by mental and even neuropsychiatric disorders, including depression, sleep disorders, anxiety, and post-traumatic stress disorder.

What is the life expectancy after a full liver transplant? ›

On average, most people who receive LT live for more than 10 years. Many may live for up to 20 years or more after the transplant. A study says 90% of people with transplant survive for at least 1 year, and 70% of people may live for at least 5 years after transplant.

What can you not do after a liver transplant? ›

If your recovery is going well, after 6-8 weeks, you will usually be encouraged to start moderate exercise. This could be walking, jogging, swimming or cycling. Most sports and activities are possible but you should avoid heavy contact sports (rugby, martial arts, boxing) as these risk damaging your transplanted organ.

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