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Chandigarh July 28, 2021:-To Create awareness on Chronic Kidney Failure & Kidney Transplant a team of Doctors from Grecian Super Speciality Hospital Mohali, addressed the media person today. Present on the occasion were Dr Sumeet Devgan Consultant Urologist & Kidney Transplant surgeon & Dr Chhaminderjeet Singh Consultant Nephrologist & Renal Transplant, physician Grecian Specialty Hospital, Mohali
Speaking on this occasion, Dr Sumeet Devgan said that India ranks 2nd in world in Kidney transplants from Live Donor as 95% of transplants in India were living donor, whereas only 5% were cadaver (deceased)." At least more than 5 lakhs of the Indians are dying every year just because of the failure of their major functioning organs anytime. There is immense need to create more awareness for both Live & Cadaver Donor Program. Dr Devgan also said that the huge discrepancy between need and supply of organs in our country can be bridged, if organs from accident victims (around 4 lakh) dying every year, are made available for transplant. Also now days the other most viable option is Donor swapping and transplantation from ABO-blood group incompatible donors. Such transplants which were considered high risk in the past are now days possible with good short term and acceptable long term results in lieu of efficient immunosuppressive treatment protocols available.
Discussing how chronic kidney failure leads to irreversible damage to the kidneys, Dr Chhaminderjeet Singh said that Chronic Kidney Failure (CRF) is progressive in nature and irreversible damage to the kidneys (occurring over a long period of time-often many years) could happen mainly because of diabetes, hypertension, infection, urinary obstruction, stone disease and some inherited abnormalities. Advanced stage of Chronic Renal Failure (or End Stage Renal Disease -- ESRD) requires some form of Renal Replacement Therapy (RRT) like Hemodialysis (filtering the blood off toxins & waste products), Continuous Ambulatory Peritoneal Dialysis (CAPD) or a Transplant. As of now, Kidney Transplant is the best treatment option for any suitable patient with end stage renal disease.
Elucidating the benefits of a renal transplant to the patient in the long run, Dr Chhaminderjeet Said that although it appears to be an expensive investment at the outset, kidney transplant is the most economical amongst the three Renal replacement therapy options in long run, and also provides the best quality of life compared to that in dialysis or CAPD. Because of growing population of Diabetes and Hypertension, each year about 2.5 lakh new patients develop CRF in our country -- but transplant takes place in only about 6000 cases, because of lack of awareness of people and unavailability of donor. Besides this Human organ such as heart, lungs, liver, intestines, corneas, bone marrow, even skin and limbs in certain cases, can be also successfully transplanted into patients in need. With healthy transplanted organs, a patient can survive for years, even, decades. One organ donor can save more than 8 lives in his life by donating his/her well functioning organs.
Talking about organ donation, Dr Sumeet Devgan specified that generally we are more skeptical about our own well-being, when somebody is asked to donate one kidney -- we need to understand that donating one kidney does not affect the physical abilities, quality of life or longevity of a person. Many cross-sectional observations in persons who have lost one kidney to trauma, infection or other disease, retrospective analyses, as well as long term prospective studies have proven long term safety of kidney donors. Again the best match for a kidney would be that from a twin (which is a rarely available), and better match is that from first degree relatives in terms of graft take up and long term out come. Now days, we offer donor's operation by laparoscopy which is less painful (than open operation), enables faster recovery and early return to work.
On the occasion, Dr Ashish Chadha Group Chief Operating Officer Grecian Hospital Mohali said that kidney transplant procedure needs several legal formalities. As per the law of our country, kidney donation by a medically fit 'near relative' (siblings, parents, spouse or children) entails minimum hassle and also provides best outcome. Donation of kidney by any person other than 'near relatives' requires approval from respective state govt, and for foreign national permission from the Embassy as well as MEA.
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