Dr. Vibha Varma

Hospitals Contact

Dr. Vibha Varma

Education :
MS, DNB(General Surgery), DNB (Gastro-Intestinal Surgery), MRCSEd (UK)
Specialization :
Liver Transplant
Department :

Introduction

After finishing her Basic MBBS training from MKCG Medical College and Hospital, Berhampur, Orissa, Dr Varma did her Masters in General Surgery from Command Hospital Air-Force Bangalore, which is tertiary referral centre. She then did her super-specialty training in Gastro-Intestinal (GI) Surgery from Sir Ganga Ram Hospital, New Delhi. She was part of the pioneer team which started the first successful and sustainable liver transplant program in 2001. She did fellowship in Liver transplantation and Transplant surgery from Queen Elizabeth Hospital, Birmingham and Sir Ganga Ram Hospital New Delhi. She is a member of the Royal College of Surgeons, Edinburgh, UK. Dr. Varma worked as an Assistant Professor in the department of Surgical Gastroenterology, Nizam’s Institute of Medical Sciences, Hyderabad for five years where she performed vast number of complex Gastro-Intestinal and Hepato-biliary-pancreatic surgeries.

She was a consultant Surgical Gastroenterologist and Transplant Surgeon at Sir Ganga Ram Hospital, New Delhi. In May 2013 she moved from there to join the department of liver transplant and hepato-biliary-pancreatic surgery at Kokilaben Dhirubhai Ambani Hospital to start a viable transplant program. She has an extensive experience of more than 700 liver transplants; living and deceased donor liver transplantation, adult and pediatric liver transplantation, split and dual lobe liver transplantation, swap and ABO incompatible liver transplantation, elective and emergency liver transplantation. Dr Varma has been part of the team which performed the India’s first living related intestinal transplant. She has performed the first reported staged liver resection (ALPPS) for extensive liver tumour.

KDAH Experience

In three years our team has performed 156 liver transplants, majority of which are living donor liver transplants. Deceased donor liver transplants form a small subset of the number. Adult and pediatric liver transplants, elective and emergency liver transplants, split, reduced, and whole liver transplants, ABO incompatible and dual lobe transplants are the variants performed so far at KDAH.

Other HPB cases performed by Dr Varma includes a vast number of complex liver resections, staged hepatectomy for liver tumours with and without vascular resection, pancreatic resection for both benign tumours and cancers of the pancreas, radical cholecystectomy for gall bladder cancer, surgery for biliary obstruction, acute and chronic pancreatitis, and surgery for portal hypertension.

Expertise

Surgeries for liver, gall bladder, pancreatic tumours both benign and malignant (primary and metastatic), Bile duct injuries, biliary stones, cancer gall bladder, cholangiocarcinoma, Management of acute and chronic pancreatitis, Pancreatic cancer, solid cystic tumour of pancreas, Liver transplantation – deceased donor liver transplant, live donor liver transplant, Adult and Pediatric liver transplant, Transplant for Acute liver failure and Chronic liver disease

Fellowships and Memberships

MEMBERSHP

  • Association Of Surgeons Of India (ASI)
  • Indian Association of Surgical Gastroenterology (IASG)
  • Association Of Minimal Access Surgeons of India (AMASI)
  • Indian association of Hepato-Pancreato-Biliary Surgeons (IHPBA)
  • Indian Society of Organ Transplantation (ISOT)
  • Fulminant Liver Failure Committee, Zonal Transplant Coordination Centre (ZTCC)


Fellowships

  • Transplant Fellow, Queen Elizabeth Hospital, University of Birmingham, UK
  • Transplant Fellow, Sir Ganga Ram Hospital, New Delhi

Unique Contribution

  • Soin AS, Gupta S, Jain P, Kumar A, Singhal D, Varma V, Somashekar U, Kumar M, Nundy S. – Management of middle hepatic vein outflow in right lobe liver transplantation. Proceedings of the 7th Congress of the Asian Society of Transplantation (CAST), 2002; O-6-L-3-003: 170.
  • Gupta S, Soin AS, Jain P, Singh A, Singhal D, Somasekhar U, Varma V, Kumar M, Nundy S. – Role of CT angiography in defining the plane of transection in right lobe liver transplantation. Proceedings of the 7th Congress of the Asian Society of Transplantation (CAST), 2002; O-6-L-3-004: 170.
  • Varma V, Thumma V M, Bheerappa N, Sastry R A. – Pancreatic head mass: Is a preoperative diagnosis always necessary? PP 6.02, HPB (Oxford). 2008; 10 (S1): 101.
  • Varma V, Gupta S, Soin, A S, Nundy, S. – Aggressive management of patients with gall bladder cancer – Is it worthwhile? PP 14.07, HPB (Oxford). 2008; 10 (S1): 119.
  • Varma V, Gandhi V, Bheerappa, N, Sastry R A. – Hepatopancreatic tuberculosis masquerading malignancy. PP 44.02, HPB (Oxford). 2008; 10 (S1): 181.Thumma V M, Varma V, Bheerappa N, Sastry R A. Has incidence of hemobilia increased with increasing conservative management of blunt liver injury? HPB (Oxford) 2008;10(S1): 31.
  • Varma V, Gandhi V, Bheerappa N, Sastry RA. Groove pancreatitis mimicking pancreatic malignancy. Indian J Gastroenterol. 2008; 27(2):86. http://www.indianjgastro.comVarma V, Gandhi V, Bheerappa N, Sastry RA. Central pancreatectomy for neoplasm of mid pancreas — a report of four cases. Indian J Surg. 2008; 70(5): 237-240.
  • Ram R, Swarnalatha G, Varma V, Desai M, Prasad N, Sastry R A, Dakshinamurty K V. Pseudoaneurysm of left colic artery after Tenckhoff catheter removal, with unrecognized fungal peritonitis. J Nephrol 2008; 21: 962 – 964.
  • Bharatan A, Varma V, Sastry RA. Chapter "Management of Gastric Ulcer" Annals of GI Surgery 2008.Varma V, Gupta S, Soin AS, Nundy S. Does the Presence of Jaundice and/or a Lump in a Patient with Gall Bladder Cancer Mean that the Lesion Is Not Resectable? Dig Surg 2009;26:306-311.
  • Daga S, Varma V, Bheerappa N, Sastry RA. Chapter "Central pancreatectomy for mid body lesions of pancreas" Annals of GI Surgery 2009.Varma V, Webb K, Mirza DF. Liver transplantation in Alcoholic liver disease. World J Gastroenterol 2010 ; 16(35): 4377-4393.
  • Rastogi AN, Varma V, Kumaran V, Mohanka R, Mehta NN, Saraf N, Mohan N, Saigal S, Nundy S, Soin AS. Pre-Transplant Portal Vein Thrombosis: Operative Management and Outcome in 426 Consecutive Liver Donor Liver Transplants. Liver Transplantation 2010:16(6 Supplement 1);S84.
  • Varma V, Mehta N, Kumaran V, Mohanka R, Rastogi AN, Shah A, Nundy S, Soin AS. Spontaneous collateralization following hepatic artery thrombosis after Living Donor Liver Transplantation. Trop Gastroenterol 2010; 31:S.
  • Varma V, Tariciotti L, Coldham C, Taniere P, Buckels JA Bramhall SR. Preoperative localisation and Surgical Management of Insulinoma – Single centre experience. Dig Surg. 2011;28(1):63-73.
  • Epub 2011.Varma V, Perera MTPR , Olliff S , Taniere P , Isaac J, Mirza DF. Cytomegalovirus ileitis causing massive gastrointestinal haemorrhage in a patient following hepatic resection. Trop Gastroenterol. 2011;32(2):145-7.
  • Varma V, Mehta N, Nundy S. Liver Transplantation in India. In: Soin AS, Nundy S (eds). The History in Liver Transplantation. ECAB Delhi 2010;1:8–14.Varma V, Mehta N, Kumaran V, Nundy S. Indications and Contraindications for Liver Transplantation. International Journal of Hepatology 2011, Article ID 121862. doi:10.4061/2011/121862
  • Varma V, Kakodkar R, Kumaran V, Mehta NN, Nundy S, Soin AS. Double graft inflow vessels in living donor liver transplantation: does double mean trouble? The 2011 Joint International Congress of ILTS, ELITA and LICAGE. Liver Transplantation 2011; 17 (Suppl S1): S1-S324.
  • Banz V, Varma V, Karam V, Gunson B, Jamieson N, Heaton N, Pinna A, Pollard S, Frimam S, Porte R, Belghiti, Adam R, Mirza D. Indications for and Survival after liver retransplantation in Europe: Evaluation of the last 28 years. Transplant International 2011;24:S4.
  • Govindasamy M, Srinivasan T, Varma V, Mehta N, Yadav A, Kumaran V, Nundy S. Biliary Tract Tuberculosis-a Diagnostic Dilemma. J Gastrointest Surg. 2011 Oct 1(Epub ahead of print)Nundy S, Varma V. Ethical issues in liver transplantation in India. Indian Journal of Transplantation 2011; 5:116-118.
  • Mehta NN, Varma V, Govindasamy M, Kumaran V, Mohanka R, Rastogi A, Nundy S, Soin AS. Incidence of hepatic artery thrombosis in 522 consecutive living donor liver transplants. The 2011 Joint International Congress of ILTS, ELITA and LICAGE. Liver Transplantation 2011; 17 (Suppl S1): S1-S324.
  • Mistry JH, Varma V, Mehta N, Kumaran V, Nundy S, Gupta A. Percutaneous transhepatic hepaticogastrostomy for portal biliopathy: a novel approach. Trop Gastroenterol. 2012 Apr-Jun;33(2):140-3
  • Kumaran V, Mehta NN, Varma V, Pandey S, Rao PS, Nath B, Mallya A, Bansal N, Ghuman S, Bhalla S, Nundy S. Living donor intestinal transplant using a standardized technique: first report from India.Indian J Gastroenterol. 2012 Jul;31(4):179-85.
  • Epub 2012 Sep 5.
  • Chattopadhyay S, Govindasamy M, Singla P, Varma V, Mehta N, Kumaran V, Nundy S. Portal biliopathy in patients with non-cirrhotic portal hypertension: does the type of surgery affect outcome? HPB (Oxford). 2012 Jul;14(7):441-7. doi: 10.1111/j.1477-2574.2012.00473.x. Epub 2012 May 3
  • Varma V, Mallya A, Kumaran V, Mehta NN, Kapoor S, Nundy S. Cytomegalovirus infection in post-liver transplant recipients- is it mandatory to give routine antiviral prophylaxis? Liver Transplantation 2012; 18 (5, Suppl 1): S166.
  • Mallya A, Nath B, Kapoor S, Varma V, Mehta N, Nundy S, Kumaran V. Renal dysfunction following liver transplant-stratification based on RIFLE criteria and outcome. Liver Transplantation 2012; 18 (5, Suppl 1): S214.Mistry JH, Mehta N, Varma V, Kapoor S, Nundy S, Kumaran V. Diabetes after liver transplantation. Liver Transplantation 2012; 18 (5, Suppl 1): S260.
  • Varma V, Mallya A, Kumaran V, Mehta NN, Kapoor S, Nundy S. Cytomegalovirus infection in post-transplant recipients – Is it mandatory to give antiviral prophylaxis? Liver Transplantation 2012:18(S1);S166.
  • Kumaran V, Chaudhary N, Mehta N, Varma V, Kapoor S, Nath B, Nundy S. Preventing biliary complications in donors using the modified hilar plate glissonian approach. Liver Transplantation 2013; 19 (6 Suppl 1): S47
  • Mehta NN, Srivastava M, Varma V, Kapoor S, Nundy S, Kumaran V. Living donor liver transplantation with cavoportal hemitransposition in porto-mesenteric thrombosis. Liver Transplantation 2013; 19 (6 Suppl 1): S54
  • Chaudhary N, Varma V, Mehrotra S, Kapoor S, Mehta N, Nundy S, Kumaran V. Outcomes of segment 4 drainage preserving living donor right hepatectomy. Liver Transplantation 2013; 19 (6 Suppl 1): S60
  • Srivastava M, Mehta N, Varma V, Kapoor S, Nundy S, Kumaran V. Zygomycosis in living donor liver transplant recipients: a single center experience. Liver Transplantation 2013; 19 (6 Suppl 1): S68Varma V, Behera A, Kaman L, Chattopadhyay S, Nundy S. Surgical management of portal cavernoma cholangiopathy. J Clin Exp Hepatol. 2014 Feb;4(Suppl 1):S77-84. doi: 10.1016/j.jceh.2013.07.005. Epub 2013 Sep 17. PMID:25755599
  • Dhiman RK, Saraswat VA, Valla DC, Chawla Y, Behera A, Varma V, Agarwal S, Duseja A, Puri P, Kalra N, Rameshbabu CS, Bhatia V, Sharma M, Kumar M, Gupta S, Taneja S, Kaman L, Zargar SA, Nundy S, Singh SP, Acharya SK, Dilawari JB. Portal cavernoma cholangiopathy: consensus statement of a working party of the Indian National Association for Study of the Liver. J Clin Exp Hepatol. 2014 Feb;4(Suppl 1):S2-S14. doi: 10.1016/j.jceh.2014.02.003. Epub 2014 Feb 25. PMID:2575559
  • Nagaraja R, Govindasamy M, Varma V, Yadav A, Mehta N, Kumaran V, Gupta A, Nundy S. Hepatic Artery Pseudoaneurysms: A Single-Center Experience. Ann Vasc Surg 2013; 27: 743–749. .doi.org/10.1016/j.avsg.2012.08.018.
  • Mistry JH, Kumaran V, Varma V, Kapoor S, Nundy S, Mehta N. A case of postcholecystectomy benign biliary stricture with atrophy-hypertrophy complex, mimicking a type IV bismuth stricture. Trop Gastroenterol. 2014 Jan-Mar;35(1):58-60. No abstract available. PMID:25276913
  • Nagaraja R, Mehta N, Kumaran V, Varma V, Kapoor S, Nundy S. Readmission after living donor liver transplantation: predictors, causes, and outcomes. Indian J Gastroenterol. 2014 Jul;33(4):369-74. doi: 10.1007/s12664-014-0462-2. Epub 2014 Apr 24.PMID:24756424
  • Mehta NN, Mangla V, Varma V, Lalwani S, Kumaran V, Nundy S. Minimizing incidence of hepatic artery thrombosis in living donor liver transplantation. Liver Transplantation 2014; 20 (6 Suppl. 1): S217-S218.
  • Pawar T, Shah AJ, Maheshwari S, Varma V, Kapoor S, Nath B, Shah J, Devarbhavi H, Kumaran V. Kinetics of liver regeneration after living donor liver transplantation. Liver Transplantation 2014; 20 (6 Suppl. 1): S253.Varma V, Nath B, Kapoor S, Shah A, Lalwani S, Mehta N, Nundy S, Kumaran V. Correlation between portal pressure and outcome post liver transplant. Liver Transplantation 2014; 20 (6 Suppl. 1): S255.
  • Kumaran V, Kapoor S, Nath B, Shah AJ, Pawar T, Varma V. A safe and reproducible technique for performing the hepatic arterial anastomosis in living donor liver transplantation: the "W" technique. Liver Transplantation 2014; 20 (6 Suppl. 1): S365
  • Chaudhary N, Varma V, Kapoor S, Mehta N, Kumaran V, Nundy S. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study.J Gastrointest Surg. 2015 May;19(5):935-42. doi: 10.1007/s11605-015-2772-9. Epub 2015 Feb 18.PMID:25691114
  • Varma V, Sable S, Kapoor S, Nath B, Kumaran V. Varied Presentation of Tuberculosis from a Living Donor Liver Transplant Centre in India - Do We Have the Right Answers for the Treatment Option? Transplantation 2015; 99(7S):238
  • Varma V, Sable S, Kapoor S, Nath B, Kumaran V. Biliary Complications Post Living Donor Liver Transplant – Our Experience Transplantation 2015; 99(7S):315.
  • Varma V, Pawar T, Sable S, Kapoor S, Nath B, Kumaran V "ALPPS for a Large Hepatocellular Carcinoma in Hepatitis C Patient " accepted for publication Tropical Gastroenterology 2016;37(2).
  • Varma, V, Pawar T, Sable S, Kapoor S, Nath B, Kumaran V. "Massive Hepatocellular Carcinoma in a Hepatitis C Patient Treated with ALPPS." Journal of Clinical and Experimental Hepatology 5 (2015): S63-S64.Yadav, K, Sable S, Kapoor S, Nath B, Kumaran V, Varma V. "Patient-Directed Management for Cytomegalovirus Infection in Post-Liver Transplant Recipients—Do We Have the Right Answer?." Journal of Clinical and Experimental Hepatology 5 (2015): S66-S67.

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