52-year-old patient suffering from chronic liver disease gets new lease of life via Deceased Donor Liver Transplant & Kidney Transplant: The Organ Transplant Department at Fortis Hospital Mohali has given a new lease of life to a patient through Deceased Donor Liver Transplant and Kidney Transplant, wherein the liver and pair of kidneys of the 46-year-old deceased donor hailing from Chandigarh, were retrieved and transplanted.
This is the 10th Cadaver Organ Donation case to have been conducted at Fortis Hospital Mohali.
As per government protocols, one kidney has been shared with another hospital.
The Organ Transplant Programme at Fortis Hospital Mohali demonstrates the hospital’s dedication to providing world-class medical care to those in need. The programme is supervised by transplant surgeons — Dr Sahil Rally, Consultant, Kidney Transplant; and Dr Milind Mandwar, Associate Consultant, Liver Transplant — who have over five years of experience performing complex transplant surgeries.
Cadaver organ donation is a labour-intensive process and can only be conducted on a patient who has been declared brain dead. The Brain Death Committee comprising four doctors assesses the patient for a non-functioning brain, unresponsiveness, absence of brain-stem reflexes and coma. The committee conducts deliberations twice (every 6 hours) to declare the patient dead.
In this case, the 46-year-old Patient was rushed to Fortis Mohali with acute haemorrhagic stroke. He was declared brain dead and 14 days later, his family expressed the desire to donate his organs. A Brain Death Committee was subsequently constituted comprising doctors at Fortis Mohali, and from Dr BR Ambedkar State Institute of Medical Sciences (AIMS), Mohali.
The committee declared the Patient brain dead and the following day; the Donor Organ Retrieval was conducted by the Liver and Kidney Transplant Team at Fortis Mohali. While the liver and one kidney were transplanted at Fortis Mohali, the pair of eyes has been stored at the PGIMER, Chandigarh. One kidney has been shared with another hospital.
The Liver recipient, a 52-year-old Patient, had been suffering from chronic liver disease for the past three years and had been undergoing multiple large volume paracentesis (removal of fluid from the abdomen cavity).
The Organ Transplant Team comprising Dr Milind Mandwar and Dr Sahil Rally conducted the liver transplant surgery on the recipient. The patient has recovered fully and leading a normal life today.
Highlighting the importance of organ transplant, Dr Rally, said, “Careful selection of donors is very important as a successful surgery outcome ensures a healthy life for the patient. Except for the first three months, there are very few dietary restrictions. Regular follow-ups are necessary.”
Dr Rally also emphasized on identifying uremic complications and their effects on the surgical outcome. “Some of the complications include infection, bleeding, heart and lung-related problems, malnutrition, anaemia requiring blood transfusion, risk of developing antibodies against the transplanted kidney, dialysis access, risk of patient going on to the ventilator requiring critical care, delay in wound healing, diseased blood vessels (on which the kidney is implanted) leading to suboptimal kidney function and financial strapping.”
Dr Mandwar, said, “Liver Transplant is the only curable treatment for the patients with End Stage Liver Failure and more than four lakh patients pass away each year as a result of organ shortages. We are dedicated to raising awareness on the importance of organ donation. We urge everyone to consider registering as an organ donor and to discuss their wishes with their loved ones.”
