Monday, July 21, 2014

Mumbai hospitals lagging far behind in liver transplant race

It is the country's financial capital and also a medical tourism centre, but low liver transplants in the city has always been a cause for concern. Private hospitals, such as Kokilaben Dhirubhai Ambani Hospital (KDAH) and Fortis hospital, had to bring on board liver experts from outside the city to start live liver transplant programmes.
Dr Rakesh Rai, liver transplant expert at Fortis hospital, said, "There was no successful live liver transplant programme. Patients had to go to Delhi or down south for the transplants as the cadaver waiting lists are long."
Experts blame it on the reluctance to perform live transplant because it is a technically difficult procedure. While private hospitals are slowly picking up in terms of liver transplant, public hospitals are still struggling, for example, KEM hospital.
The hospital in Parel is the only public hospital to have a liver transplant programme. Currently, it has 20 people waiting on its list for the organ. A senior doctor from the team of KEM hospital's liver transplant programme said, "After the initial failure of live transplants, we decided to do only cadaver transplants. Once this picks up, we will restart live transplants."
In the last one year, the hospital has conducted eight cadaver liver transplants. The hospital's liver transplant facility, which was inaugurated in June 2010, has so far conducted only five live transplants.
"Live transplants were stopped after both recipient and donor died in November 2010 in one case. We are only concentrating on cadaver transplants. In the last six months, we did one cadaver transplant as it depends on the availability of the organ as per the ZTCC waiting list," said the senior doctor.
Organ facts
A liver transplant in any private institute costs up to Rs18-20 lakh. KEM hospital has subsidised the cost to about Rs5 lakh While the city sees close to 300 patients suffering from end-stage liver disease, less than 10% of them manage to get an organ in Mumbai, according to liver transplant experts. Another 10% go to Delhi or Chennai, Hyderabad or Vellore in the hope of getting a transplant.
Almost 80% die waiting for a transplant as they can't afford the surgery
In Mumbai alone, nearly 2,000 patients die annually from liver failure or liver cancer and 300 are waiting for a transplant at any given point of time.

Monday, May 20, 2013

Mira Road man got a liver donation in just 10 days



Jan 15, 2013, 03.57AM IST TNN

MUMBAI: Ex-school principal Nivrutti Shinde got the best New Year gift ever. The 68-year-old Mira Road resident got a donated liver within 10 days of registering for a cadaveric organ in Fortis Hospital, Mulund.

On January 7, Shinde became this year's first liver transplant patient. At a press conference held on Monday, just before his discharge, Shinde said that he had suffered a great deal in the six odd months since he was detected with liver cirrhosis. The family moved to Delhi for three months because it was advised that liver transplant doesn't take place in Mumbai. "This was the same time that ex-chief minister Vilasrao Deshmukh was taken to Chennai for a liver transplant," said Shinde's son Sudhir.

Doctors in Delhi advised the family to get a live donor, a relative who could donate about 60% of his liver for Shinde. "But due to some technical problems, the transplant couldn't take place," said Sudhir. Shinde then returned to Mumbai and met Dr Rakesh Rai, a surgeon with expertise in liver, kidney and pancreas transplant at Fortis Hospital, Mulund.

"I met Dr Rai on Diwali day and registered for a cadaveric organ transplant at the hospital on December 27," said Shinde. On January 6, the family was happy to get a call saying there was a cadaveric liver available for transplant.

With 43 kidneys and 18 livers donated in 2012, the city has witnessed a sudden burst in organ transplant in the last six months.

Shinde's surgery was the first liver transplant of 2013. The surgery took just about six hours compared to the usual 12 hours, said Dr Rai. "A shorter operative time period also means faster recovery and subsequent discharge from the hospital. A lot depends on the organization and protocol followed in the operation theatre. I am hopeful that we can we can bring the operative time further down ensuring faster recovery time of the patients."

The Shinde family has been so moved by this experience that all the members plan to pledge their organs.

Credits - Times of India