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Home > Divisions > Transplantation > Living Donor Liver Transplant > What happens the day of surgery?
What happens the day of surgery?
The donor is admitted the day of surgery to the Same
Day Admission Unit (3C) of the Fairview-University Medical
Center at about 5:30 a.m.
The donor will be given a pair of TEDs (which stands for
thromboembolic disease): these are special elastic stockings
that increase the circulation in the legs. Only a hospital
gown may be worn to surgery. All dentures and glasses, nail
polish, lipstick, makeup, jewelry, and hairpins must be
removed. Valuables should be left in the hospital room,
they will be sent to Protection Services or with relatives
for safekeeping.
A nursing assistant will bring a cart to the hospital room
to transport the donor to the Pre-Induction Room (PIR) outside
of the Operating Room. Families may come into this area.
They will then be directed to the Surgery Waiting Area on
the third floor. After the surgery is done, the doctors
will meet with the family there.
In the PIR, an intravenous line will be inserted so that
anesthesia medications can be administered. The doctor in
charge of anesthesia (the anesthesiologist) will come to
see the donor.
An endotracheal (ET) tube will be inserted in the donor's
throat during surgery to help with breathing. The ET tube
is placed after the donor is asleep from the anesthesia.
If it is still in place when the donor first wakes up, he
or she will not be able to talk. As soon as the donor is
fully awake, the ET tube is removed.
A Foley catheter will be inserted in the donor's bladder
in the Operating Room to drain urine. A nasogastric (NG)
tube will also be inserted through the nose and throat to
the stomach. It drains the stomach contents to prevent nausea
and vomiting and will remain in place for a couple of days
after surgery, or until the bowels start to function.
A small plastic drain is left in the donor's abdomen to
collect blood and bile, which may accumulate in the area
where the piece of liver is removed. This drain is usually
removed 4 to 5 days after surgery.
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