Bengaluru Surgeons Perform India’s First Living-Related Bloodless Liver Transplant

By | February 6, 2020

In yet other dedication to saving lives the use of the latest technologies in medical treatment, Aster CMI Hospital Bangalore effectively achieved India’s first live liver transplant on Jehovah’s witnesses from Nigeria. The surgery was hard in comparison to a normal liver transplant due to the fact that it allows you to protect the patient’s religious beliefs, the medical team could not use blood or blood products (fresh frozen plasma, cryoprecipitate, platelets, and so on). Only a few such surgeries have been successfully carried out globally.

The affected person named – Jehovah from Nigeria was suffering from an end-stage liver disorder. Without a liver transplant, his chances of survival had been much less than 10% within the subsequent 2 years. Jehovah’s witnesses are followers of a Christian religion that prohibits the usage of blood or blood products within the treatment of the followers of the faith. 37-year-old Jehovah, a Jehovah’s Witness follower had got decompensated liver sickness and visited more than 3 nations seeking treatment over the last four years however was turned away by most doctors because of the incredibly volatile nature of the surgical treatment.

The Hospital team of liver experts – Dr. Rajiv Lochan, Dr. Sonal Asthana, Dr. Mallikarjun Sakpal, Dr. Arun V – an anesthesiologist and Dr. Prakash Doraiswamy – intensivists, reviewed the affected person’s medical records earlier than recommending surgical treatment and charted out a viable pathway. “During a liver surgery, suffers lose lots of blood which needs to be replaced for the patient’s survival. Generally, doctors hold 3-4 units of blood and the same quantity of platelets/plasma on reserve for the affected person. In this situation, we had to figure out an alternative,” stated Dr. Mallikarjun Sakpal, a hepatologist at Aster CMI. The team spent several counseling classes with the recipient-donor and family to absolutely recognize the numerous interventions and supportive measures that might be used all through surgery. “Even supposing their hemoglobin level dropped to life-threatening levels, the patients have been clear that they could not accept a blood transfusion.

Keeping the restrictions in mind, the simplest treatment direction was planned, and we spent nearly 2 months getting the patient ready for the surgery. The hospital arranged custom-designed artificial products like synthetic drug molecules, to perform a bloodless liver transplant,” stated Dr. Sonal Asthana, representative Liver Transplant Surgeon stated “in preparation for the surgery the patient and his brother also needed to undergo ‘prehabilitation’ – a process during which the brothers strengthen their hematopoietic system to withstand the surgical operation without external blood transfusion. the patients were given haematinics – iron and numerous nutrients and erythropoietin to enhance their hemoglobin levels supported by using regular physiotherapy and nutrition to strengthen their muscles.” without a Liver Transplant Surgery in India, Jehovah’s possibilities of survival were less than 10% over the subsequent 2 years.

The doctors used the ‘normovolemic hemodilution’ method wherein doctors took units each of each patient and donor’s blood and had been connected to the device during the surgical operation the use of the special system so there may be no break within the blood flow loop. This procedure was discussed with the patient before the surgery and it was in keeping with their beliefs. All through the surgical treatment, the patient lost about 2 units of blood which had been compensated with the use of ‘cell-salvage’ approach to accumulate and reuse the blood. Liver Transplant Surgery in India lasted for 12-hours and two teams of professionals with near 25 medical doctors have been involved in this surgery. In a period of two weeks, the patient and his brother, who was a donor, have been discharged from the hospital.

India is usually known as one of the favored medical locations, the reason being many on the list like with cost-effectiveness, focus on advanced medical technology and availability of skilled medical experts and we believe that the country’s Medical Tourism sector is predicted to emerge as more famous with continuing improvement in the near future.” said Dr. Nitish Shetty, CEO, Aster hospitals, Bangalore.

 

Reference Source: https://gulfnews.com/uae/health/a-rare-bloodless-liver-transplant-surgery-performed-in-india-on-a-nigerian-patient-1.1580026883206