Three months after the country’s first ever ‘domino’ kidney transplant involving five patients and an equal number of donors was performed, the second such attempt will be made across three city hospitals in the first week of December. This time around, it will involve six kidney patients and six donors.
A domino transplant is a series of surgeries in which each of the donors (six in this case) gives an organ to an unrelated recipient. Each donor’s relative needing a kidney gets it from the relative of one of the six recipients. Legal issues are involved in organ donation cases when the donor and recipient are not related.
After facing many hurdles to get permission from the state government, the country’s first-ever domino kidney transplant was performed in the city in June this year. It was first reported indna.
Like the first domino transplant, the second one will be conducted at Bombay Hospital (three procedures), Hiranandani Hospital (two procedures) and Hinduja (one procedure). All transplants will be performed on the same day. The date is still to be finalised.
Dr Shrirang Bicchu, nephrologist, Bombay hospital and co-ordinator of the forthcoming domino transplant, said, “The success of the earlier procedure has now set a precedent and will encourage people to opt for it as it reduces a patient’s wait for the organ. We are thankful to the state government for speeding up the procedure. We are now in the midst of completing the legal documentation and will submit the same to the state authorisation committee. If the domino method were not available, the patients would have had to wait for at least 10 years.
For a transplant, the blood and tissue of a donor and recipient must match. In the case of one of the recipients, Mahesh Kadam, his father was ready to donate a kidney but there was a mismatch in blood group. Mahesh had ‘O’ group, his father’s was ‘A’. Doctors advised Mahesh to register with the Apex Swap Transplant Registry (ASTRA) which addresses the issue of mismatch in blood groups or tissue among those who come for transplant.
ASTRA then identified those who have been suffering from kidney problems and could be lined up in a domino transplant procedure. Those approached included Dombivli resident Sushma Sawant who has kidney ailments, and is on dialysis. Her husband, Laxman, could have donated his kidney to her but they agreed to a domino transplant to help save five more lives.
“We came to know that not one but five lives could be saved by domino procedure and we decided to exchange kidneys by mutual agreement,” said Laxman Sawant.
How it works
For a transplant, it is necessary that blood and tissue of a donor and recipient match.
When they don’t, the domino procedure is resorted to. In this procedure, the donor of one pair donates the kidney to the recipient of another pair. The transplant is then carried out in a series, till the last donor in the chain donates to the first recipient in the line-up.
A domino transplant is a series of surgeries in which each of the donors (six in this case) gives an organ to an unrelated recipient. Each donor’s relative needing a kidney gets it from the relative of one of the six recipients. Legal issues are involved in organ donation cases when the donor and recipient are not related.
After facing many hurdles to get permission from the state government, the country’s first-ever domino kidney transplant was performed in the city in June this year. It was first reported indna.
Like the first domino transplant, the second one will be conducted at Bombay Hospital (three procedures), Hiranandani Hospital (two procedures) and Hinduja (one procedure). All transplants will be performed on the same day. The date is still to be finalised.
Dr Shrirang Bicchu, nephrologist, Bombay hospital and co-ordinator of the forthcoming domino transplant, said, “The success of the earlier procedure has now set a precedent and will encourage people to opt for it as it reduces a patient’s wait for the organ. We are thankful to the state government for speeding up the procedure. We are now in the midst of completing the legal documentation and will submit the same to the state authorisation committee. If the domino method were not available, the patients would have had to wait for at least 10 years.
For a transplant, the blood and tissue of a donor and recipient must match. In the case of one of the recipients, Mahesh Kadam, his father was ready to donate a kidney but there was a mismatch in blood group. Mahesh had ‘O’ group, his father’s was ‘A’. Doctors advised Mahesh to register with the Apex Swap Transplant Registry (ASTRA) which addresses the issue of mismatch in blood groups or tissue among those who come for transplant.
ASTRA then identified those who have been suffering from kidney problems and could be lined up in a domino transplant procedure. Those approached included Dombivli resident Sushma Sawant who has kidney ailments, and is on dialysis. Her husband, Laxman, could have donated his kidney to her but they agreed to a domino transplant to help save five more lives.
“We came to know that not one but five lives could be saved by domino procedure and we decided to exchange kidneys by mutual agreement,” said Laxman Sawant.
How it works
For a transplant, it is necessary that blood and tissue of a donor and recipient match.
When they don’t, the domino procedure is resorted to. In this procedure, the donor of one pair donates the kidney to the recipient of another pair. The transplant is then carried out in a series, till the last donor in the chain donates to the first recipient in the line-up.
Credits: dnaindia
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