Kidney and liver transplants by brain-dead organ donation show 90% success
Nagpur division has recorded a good survival rate of about 90% in liver and kidney transplants performed on the basis of organs from brain dead donors. The rate is higher than the national average. The one-year kidney transplant success rate is 88.13%, while the five-year rate is 74.57%. In cases of liver transplantation, the division recorded a one-year survival rate of 88-90% while 85% of people survived for three years.
Brain dead organ donation in Nagpur started in 2013 when two kidneys were received from a deceased donor. From 2013 to 2022, Nagpur witnessed organ donations from 88 brain dead patients. Of these, 154 kidneys were recovered and 152 were transplanted. Similarly, liver transplantation started in 2018 and so far 57 livers have been recovered and 59 have been transplanted (the number of transplants is higher as Nagpur received three livers from outside of which two were in good condition) .
Dr. Viresh Gupta, Chairman of Kidney Transplant Procedure explained, “The national rate of Nagpur division. We started the kidney transplant from the very beginning. Although we have calculated the one year and five year rate, there are people in Nagpur who have survived after nine years of their kidney transplant.
According to Dr Gupta and Dr Rahul Saxena, Chairman of the Liver Transplant Committee, both said: “Why some people did not survive, there are several reasons. Their age factor, comorbidity, and care to follow guidelines. In both transplants, the body accepts the organ from the outside. It takes a long time for the body to accommodate this new organ.
“We provide in-depth advice to patients and their relatives on the precautions to take. After the transplant, they are given immunosuppressive drugs to control their immune system. The body’s immune system helps fight infections that cause disease. In addition to medication, such people must strictly follow the rules. For example, they should not go out too long, they should avoid meeting people. They should be kept in a separate room where the level of infection should be low. They are asked what to eat, what to drink, what to avoid. We know that it is very difficult to follow all these instructions, but these are necessary. We emphasize these points while advising patients. Unfortunately, those who don’t follow fall victim to infections,” Dr. Gupta and Dr. Saxena pointed out.
Dr Gupta said: “Of the 15 people who died after kidney transplants, 10 died due to sepsis. Patients with comorbidity, lung problems, heart problems are at a lot of risk. At the time of release, we recommend them. Initially, they follow all instructions, but we observed that during subsequent follow-ups, they begin to neglect instructions. Relatives should not allow other infected people, suffering from fever, cough to approach these patients.
Dr. Vibhavari Dani, Chairman of the Zonal Tranasplant Coordinating Committee (ZTCC) told ‘The Hitavada’: “We are following the procedure very scrupulously. Matching of blood type and all other parameters is tracked so that the patients benefit as they spend hundreds of thousands of rupees on the life of their loved ones. I think a good success rate is the result of all the measures we take during the organ distribution and transplant procedures. Veena Wathore, the ZTCC coordinator does a lot of counseling.
From 2015, the number of organ donations and transplants has steadily increased, and the addition of organs has also been seen by everyone. For example, previously, only the kidneys were recovered. Gradually from 2016, hospitals in Nagpur also performed liver extractions but Liver Transplant in Nagpur started in 2018 with the first transplant performed at New Era Hospital by Dr. Rahul Saxena and his team. In 2017, hearts were also recovered, but the city did not have the possibility to have them transplanted. Currently, Nagpur also has four centers where hearts can be transplanted. If one looks at the statistics, one would find from 2013 to present, Nagpur has witnessed 88 brain dead organ donations. Organs are distributed according to the patient list available from the Zonal Transplant Coordinating Committee (ZTCC).
Dr. Vibhavari Dani, President and Dr. Sanjay Kolte, Secretary of ZTCC told ‘The Hitavada’: “We continue to update our data after each donation and transplant. Apart from the details of organ donation, their transplantation, we monitor the survival rate of patients on whom organ transplants are performed. We forwarded this data to our state agency. The success rate for both transplants is around 90%, which is good. The presidents concerned take care of the post-transplant situation respectively.
Dr. Ravi Wankhede, former secretary of the Zonal Transplant Coordinating Committee (ZTCC) has, through the Mohan Foundation, given impetus to the organ donation activity. He said: “Nagpur is doing a fantastic job. In recent times, Super Specialty Hospital also contributes a lot to private hospitals, because kidney patients need good quality dialysis facility. Most patients cannot afford private fees. They have a good super specialty option.