One of the smallest ever children believed to have undergone a successful liver transplant from an adult donor is now back home with his family in time for Christmas.

Teddy Nicholls underwent a second life-saving transplant at London’s King’s College Hospital, thanks to his mother’s donation.

Surgeons at King’s believe that at just 10 weeks of age, in April 2022, Teddy was one of the smallest children to have ever undergone a successful liver transplant from a deceased donor, made possible by the hospital team using a novel surgical technique.

The Hunts Post: Teddy with his mum and granny.Teddy with his mum and granny. (Image: Kings College Hospital NHS Trust.)

Coined as a ‘Hitch-Vein Monosegment’ liver transplant, the innovation means that an adult donor liver - live or deceased - can be hyper-reduced to be used successfully to save the life of such small babies.

The only alternative is to await a rare, deceased donor liver from another small baby which sadly can see babies run out of time.

 The first transplant was life-saving, but it was later deemed necessary for Teddy, at the age of 21 months, to undergo a second liver transplant to increase the blood flow needed for him to survive in the long-term.

That was when his mum, Emma, stepped in to donate part of her own liver, having been unable to donate the first time so soon after giving birth.

Although rare for small babies, liver donation from living donors can be carried out by specialist NHS transplant centres thanks to the liver’s ability to regenerate.

Now, having been able to return to their home in Ramsey just three weeks after his second life-saving innovative liver transplant, Teddy is thriving, with he and his mother reunited with Teddy’s five-year old brother Theo and father Greg just in time for Christmas.

The Hunts Post: Emma and Greg with Theo and Teddy.Emma and Greg with Theo and Teddy. (Image: Kings College NHS Trust.)

Teddy’s mum, Emma Nicholls said: “I am incredibly grateful to the whole hospital team from the theatres to the wards where we stayed; they’ve been fantastic looking after Teddy and I every step of the way. 

"Being home and reunited as a family in time for Christmas makes us feel so lucky and grateful to everyone at King’s College Hospital.

“I knew I wanted to do everything possible to help my son, and as a family we were so thankful to the donor and their family who saved Teddy’s life with his first organ transplant that I had no doubts about stepping in when needed.”

Dr Hector Vilca Melendez, consultant transplant surgeon at King’s College Hospital NHS Foundation Trust explained: “I’m delighted to see Teddy and Emma doing so well, and thanks to his mother’s donation Teddy has the opportunity to develop as would be normal for any child”.

“Seeing Teddy grow from first meeting soon after birth when he was seriously unwell, to now that he’s a happy and vibrant 21 month-old, is a wonderful tribute to the importance of organ donation and the fantastic work of our team at King’s.”