By 1 2 1 News Reporter
Chandigarh, 05th September: --- Department of Hepatology, PGI organized an organ donation public forum. On this occasion a documentary on success story of 'Upasana', the lady who had undergone liver transplant, was released by Dr. A. Gupta, Dean, PGI. Upasana had a serious liver disease since childhood known as cirrhosis because of which she had blood vomitings several times and accumulation of fluid in the abdomen. She became very weak and could not live a normal life. Her treating doctors told that her only hope was a liver transplant. She received liver transplant in October 2011 and few months later she became free from all of her symptoms. She resumed her work and is living a happily married life. In Upasana's words " liver transplant se mujhe nai zindgi mili hai".
Dr. Y.K.Chawla, Director, PGI spoke about the Cadaver Donation Programme and PGI's role in making efforts to increase organ donation and saving lives. Dr. Chawla elaborated that apart from liver, kidney, cornea, bone marrow transplantation, and institute has done its first successful heart transplant recently.
While Dr R.K. Dhiman spoke about status of organ donation in India. Dr Dhiman said that there is a great shortage of organs worldwide. Despite having high number of road accident in India, the organ donation rate from dead bodies is estimated to be 0.05 per ten lakh which is very less as compared to Spain where donation rate is 35 per ten lakh population. Liver transplantation is the only effective treatment for end-stage liver disease. The operative success rate is >95% and the 5-year survival is over 70-80%. At the same time more than 200 000 people die in India every year from liver failure without any hope of receiving a transplant. The cost of liver transplant in private sector is between Rs 20 to 40 lakh with a living donor, cadaveric liver transplant in a public sector costs less than one-fourth the price.
Whereas Dr. S.N. Mathuria spoke about brain death which meant that all the functions which are fully governed by the brain are irreversibly lost, which includes consciousness and respiration, but at the same time other organs like heart, liver, kidney and other viscera etc. keep functioning because of pumping of blood from the heart. Patient continues to sustain with these functions for some time with aid of the supportive measures i.e. assisted ventilation and blood pressure maintenance on IV drugs but eventually died. Dr. Mathuria mentioned about diagnosis of brain-stem death requires fulfillment of three clinical criteria: 1. establishment of a specified condition which has led to irreversible brain damage, 2. exclusion of potentially reversible causes of coma and loss of respiration, and 3. absence of brain-stem reflexes. Presently, a team of four doctors who are not a part of transplant team, are authorized by the hospital and examine the person twice at a minimum interval of six hours before the declaration.
Dr. A. Behra mentioned that there are two types of organ donor. Most are deceased organ donors who are brain dead clinically and legally. Deceased donor can donate any organ which can benefit upto 50 people including saving lives in about 10 patients. In deceased organ donation, an organs of the human body are removed in a surgical procedure which include the heart, kidneys, pancreas, lungs, liver, and intestine; tissues than can be transplanted are heart valves, bone, bone marrow, skin, tendons, and corneas. The removal of organs and tissues is a sterile surgical procedure performed in the operating room, just as any surgery is done. Donation neither disfigures the body nor changes the way a person looks and costs nothing to the donor's family. The other type is a living donor. To be a living donor, a person must be in good health and should be between the ages of 18 and 60. Living donors can donate a kidney, a lobe (part) of a lung, half of a liver (It will grow back to normal size in both the donor's and in the recipient's body over time), a section of intestine or a part of pancreas. One can become a donor by signing the donor card in the presence of two witnesses if he/she is at least 18 yrs of age, or if under 18, with consent of their parents or legal guardian. One can also visit www.lampoflife.in for online organ donation.
On this occasion M.L. Arora, Heart transplant receipient, Rajesh Kochar and Onkar Singh, Eye cornea transplant receipients, Anil and Harmesh, Liver transplant receipients and Gurvinder singh, Kidney transplant receipient spoke about their experiences and quality of life thereafter. and Mrs Gandhi, a donor family, shared their experience about their decision making for organ donation of their son in the most sad moment of their life. They were honoured by Dr. A Gupta
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