http://www.expresshealthcare.in/201107/market06.shtmlGlobal Hospital, Chennai Performs India's First Complex Swap Liver Transplant
Two Sri Lankan donors’ livers swapped to save lives of respective liver transplant patients in the family
The liver transplantation team at Global Hospitals recently performed the country’s first living donor simultaneous liver "SWAP" Transplantation surgery on two adults. In this unique procedure, two families with donors whose organs were incompatible for the patients in their respective families have exchanged their organs for transplantation under a 'paired donation programme'. Prof Mohamed Rela, world’s foremost liver transplant surgeon and Director HPB & Liver Transplantation, Global Hospitals Group along with a team around 50 members comprising surgeons, hepatologists, intensivists, skilled technicians and support staff performed this surgical marathon successfully. The complex procedures were performed simultaneously in four different operation theatres.
Mohamad Nazeem, 50 year old male from Kandy, Srilanka was diagnosed to have cirrhosis of liver due to an unknown cause (cryptogenic) few months ago and was referred to Global Hospitals & Health City, Chennai for liver transplantation. His family members were willing to donate part of their liver, but unfortunately their blood group did not match that of the patient.
At the same time Mohamed Nazir, 48 years old from Kandy, Sri Lanka too was diagnosed with chronic liver disease and was advised to go to Global Hospitals & Healthcity, Chennai for further treatment. After a complete evaluation, the Hepatologists at Global Hospitals & Health city diagnosed him as a case of end stage liver disease, secondary to hepatitis C and advised him to undergo liver transplantation. Nazir’s son came forward to donate a part of his liver to his father, but blood groups were not matching. This unfortunate situation of both families triggered the innovative thinking of the liver transplantation team, headed by Prof Rela. The team suggested a SWAP liver transplantation option to them. Interestingly the organ suitability between these families’ donors and recipients was found to be appropriate.
The liver transplant of Nazeer from Nazim’s wife as donor and that of Nazim, with Nazeer’s son as donor was performed in 16 hours with almost 55 – 60 per cent of the liver taken from the donors and successfully transplanted into the recipients. The donors and recipients recovered quickly.
Expressing his joy Prof Rela said, “The burden of liver disease in the country and of patients needing liver transplantation is very high. On the other hand, there is a huge shortage of organs. The option of cadaveric transplantation, which is available in western countries, is also limited in India. In such situations, it becomes important to think of innovative ways to optimise the scarce resource of living donors”.
Dr K Ravindranath, Chairman & MD, Global Hospitals Group said, “At Global Hospitals, we are completely committed to delivering medical services of the highest quality. This complex surgical exercise is a testimony for highly skilled consultants, technical staff and technology working perfectly with enormous dedication and team work. Through cutting edge clinical solutions, research, extraordinary patient care and infrastructure of world class standards, we are certain, concerns around human suffering on complex and end-stage diseases will be significantly addressed. Every step of ours has always been on this direction.”
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