Latest news with #NationalOrganandTissueTransplantOrganisation
Hindustan Times
7 hours ago
- Health
- Hindustan Times
42-year-old man from Beed undergoes rare small intestine transplant; organ airlifted from Delhi
MUMBAI: In a rare and clinically complex procedure, a 42-year-old man from Maharashtra's Beed district recently received a life-saving small intestine transplant at Nanavati Max Hospital in Mumbai. The transplant in the first week of May was made after a cadaveric organ was retrieved from a brain-dead donor in Delhi and transported over 1,400 kilometres within just under five hours — a feat requiring precision, interstate coordination, and rapid emergency logistics. The patient, Siddheshwar Dake, a resident of rural Beed in the drought-prone Marathwada region, had been suffering from worsening abdominal pain and gastrointestinal issues for more than two years. Despite consulting multiple hospitals, he received inconclusive diagnoses—ranging from ulcers to suspected malignancy. His condition continued to deteriorate until he was referred to the specialised liver, intestine, and pancreas outpatient department at Nanavati Max Hospital earlier in January. A detailed evaluation in February revealed that Dake had developed Superior Mesenteric Artery (SMA) thrombosis—a condition in which a blood clot blocks the major artery supplying the small intestine. The resulting loss of blood flow had led to extensive gangrene. 'He was in a hypercoagulable state, which increases the risk of clot formation. We had to act swiftly to remove the necrotic segment. However, an intestinal transplant was his only curative option,' said Dr Gaurav Chaubal, director of HPB surgery and liver and multi-organ transplant at the hospital. With no suitable living donor in the family, Dake was placed on the national cadaveric transplant registry in April. A month later, the National Organ and Tissue Transplant Organisation (NOTTO) notified the Mumbai-based team about a matching donor in Delhi—a 21-year-old woman who had been declared brain-dead following a road traffic accident. Her family's consent to donate her organs enabled the transplant. A highly trained surgical retrieval team from Nanavati flew to Delhi to coordinate the organ harvest, working alongside Max Healthcare's hospitals at Shalimar Bagh and BLK-Max. Following the procedure, an emergency 'green corridor' was activated in both Delhi and Mumbai. Airport authorities, local police, and civic agencies collaborated to establish a traffic-free route, ensuring rapid and uninterrupted ground transportation between the hospitals and airports. 'The harvested organ was transported from the Delhi hospital to the airport with a police escort, then flown to Mumbai via a chartered medical aircraft. On arrival, it took less than 10 minutes to reach Nanavati Max Hospital due to the pre-cleared traffic route,' explained Dr Aditya J Nanavati, associate director of HPB surgery and liver and multi-organ transplant. 'Every minute counts, as the viability of the intestine outside the body is extremely limited.' The transplant surgery lasted around eight hours and was completed within the acceptable ischemic time. Post-operatively, Dake was closely monitored in a dedicated transplant ICU. After recovering with immunosuppressive therapy, infection control measures, and specialised nutritional support, he was discharged within three weeks and is currently in a stable condition, responding well to follow-up care. 'This is among the rarest forms of solid organ transplantation in India,' said Dr Vivek Talaulikar, COO (Western Region), Max Healthcare. 'Such procedures demonstrate the importance of clinical expertise and national-level collaboration in saving lives.' A NOTTO official from Delhi said, 'Compared to more common liver and kidney transplants, small intestine transplants are extremely rare due to surgical intricacies and complex post-operative care requirements.'
India Today
20-05-2025
- Health
- India Today
An organ donor can save seven lives: A full guide to this noble pledge
Organ donation is a life-saving medical intervention that has the power to transform lives. In India, the National Organ and Tissue Transplant Organisation (NOTTO) regulates, coordinates and promotes organ donation and transplantation. Dr Anant Kumar, chairman, urology, kidney transplant and robotics, Max Super Speciality Hospital, Saket, New Delhi, explains the humanity and technicalities of pledging your organs to save someone's donation can be categorised into two types: living organ donation and cadaveric (deceased) organ ORGAN DONATIONA healthy individual voluntarily donates an organ/tissue to a recipient in need. This is possible because some organs/tissues can be donated without significantly affecting the donor's health. The most commonly donated organs are kidney, liver, lung, pancreas, intestine, tissues (bone, skin). However, in clinical practice, only one kidney and part of the liver are (DECEASED) ORGAN DONATIONCadaveric donation takes place when a person is declared dead, either due to cardiac death or brain death. In such cases, multiple organs and tissues can be retrieved and transplanted to patients in and tissues that can be donated after death are heart, lung, liver, kidneys, pancreas, intestine, cornea (to restore vision), skin (for burn patients), heart valves, bones, tendons and DEATH AND ORGAN DONATIONadvertisementBrain death is a state in which a person has permanently lost all brain functions and reflexes, but their heart can still beat with medical support. Once brain death occurs, the body cannot survive. Some children, though, can survive with life support for 3-4 days.A team of independent doctors perform a series of clinical tests to confirm brain death. The process follows strict guidelines under the Transplantation of Human Organs and Tissues Act (THOTA), 1994 in key criteria are:Absent brainstem reflexes: No response to light, pain or other test: The patient is unable to breathe without ventilator of consciousness: No activity in the brain, confirmed through brain death is confirmed, the family is counselled about organ donation. If consent is given, organ retrieval is performed while the body is on artificial support to maintain OF NOTTONOTTO, operating under the Union ministry of health and family welfare, is responsible for regulation and coordination of organ donation, organ distribution and transplantation in India. Its functions are:Maintaining a database of patients awaiting transplants and allocating organs based on medical urgency and with hospitals, state authorities and transplant organisations to facilitate organ retrieval and educational programmes promoting organ ethical and legal guidelines are illegal organ trade and enforcing OF ORGAN DONATIONadvertisementFor living donation, the donor undergoes a comprehensive medical evaluation, including psychological counselling, to ensure they are fit for donation. Once found eligible, the organ is surgically retrieved and transplanted into the cadaveric donation, the patient is declared brain dead following strict medical protocols. Consent is thereby obtained from the family. The hospital informs NOTTO or a transplant organisation about the available organs. The organ allocation process takes place based on urgency and compatibility. Organs are retrieved and transported under sterile conditions to the recipient's ORGAN DONOR IS A HEROWith increasing awareness, better medical facilities and strong regulatory bodies like NOTTO, more people can be encouraged to become donors. Families of brain-dead individuals should consider organ donation as a way to give life even in death. By dispelling myths, legal hurdles and ethical challenges, India can progress towards a more efficient and compassionate organ donation donate your organs after death. You don't need organs in heaven. You can pledge organ donation now and let your family and friends know your wish. It will help them in taking a decision after your death. Be an organ donor and save up to seven to India Today Magazine
India Today
24-04-2025
- Health
- India Today
AIIMS Raipur performs its first Swap Kidney Transplant: What is it?
Two men from Bilaspur, both in their early 40s and battling end-stage kidney disease, recently underwent a life-saving transplant at AIIMS Raipur, but not the usual a first-of-its-kind surgery for the state, and a milestone for the institute, the doctors performed a Swap Kidney Transplant, a complex procedure that matched each man with the other's donor wife, overcoming blood group this feat, AIIMS Raipur has become the first government hospital in Chhattisgarh and the first among the newer AIIMS institutions to successfully carry out a swap transplant - also known as Kidney Paired Donation (KPD). The transplant was performed on March 15 and involved a team of specialist nephrologists, surgeons, anaesthesiologists and transplant four individuals, the two recipients and their spouses who stepped forward as donors, are recovering well in the Transplant ICU. India's top transplant body, the National Organ and Tissue Transplant Organisation (NOTTO), is pushing to make such transplants more accessible across states. () advertisementThe transplant team for the recent swap surgery included Dr Vinay Rathore (transplant physician), Dr Amit R Sharma, Dr Deepak Biswal, Dr Satyadeo Sharma (surgeons), along with Dr Subrat Singha, Dr Mayank, Dr Jitendra and Dr Sarita Ramchandani from the anaesthesia department, and transplant coordinators and nursing IS A SWAP KIDNEY TRANSPLANT?A Swap Kidney Transplant is an option when a patient has a willing donor who is incompatible either due to blood group mismatch or the presence of of rejecting the possibility of a transplant, the pair is matched with another patient-donor duo in a similar situation and the donors are ensures that both patients receive compatible kidneys. A Swap Kidney Transplant is an option when a patient has a willing donor who is incompatible to swap with another patient-donor duo due to compatibility. (Photo: PIB) The patients at AIIMS Raipur had been on dialysis for nearly three years. One pair had a B+ donor and an O+ recipient, while the other had the reverse — O+ donor and B+ swap allowed for compatible transplants, without the need for a deceased is especially significant because swap transplants can increase transplant rates in the country by up to 15%, a crucial development since India faces a shortage of organ top transplant body, the National Organ and Tissue Transplant Organisation (NOTTO), is pushing to make such transplants more accessible across Raipur is also an emerging leader in kidney transplantation in Chhattisgarh. In the last two years, it has been the first among the newer AIIMS to perform deceased donor organ transplants, including paediatric kidney transplants - another first for the far, the hospital has conducted 54 kidney transplants. In these, 95 out of every 100 cases, the new kidney that was transplanted is still working well after the surgery with a 97% patient survival deceased donors have donated their organs in the last two years.
