GoDubai
  
  
  
  
Citylife > Press Release
  Home Contact us Add to Favourites
Most Recent Postings
More Press Releses
Featured Sections

Event Finder
A daily roundup of exhibitions, promotions and other events in Dubai and the rest of the Emirates.
Submit an Event
Latest Dubai Press Releases >>

 
  Share
  • Patient suffering from end stage liver disease receives live liver transplant with brother as donor
  • Both patient and donor were Jehovah's Witnesses
  • Specialized resources arranged to support the surgery

 

Dubai, United Arab Emirates, January 26, 2020:     In yet another commitment to saving lives using the latest technologies in medical treatment, Aster CMI Hospital Bangalore successfully performed India's first live liver transplant on Jehovah's Witnesses from Nigeria. The surgery was challenging compared to a normal liver transplant because in order to protect the patient's religious beliefs, the medical team could not use blood or blood products (Fresh frozen plasma, Cryoprecipitate, Platelets etc). Very few such surgeries have been successfully conducted worldwide.

Jehovah's Witnesses are followers of a Christian faith that prohibits the use of blood or blood products in the treatment of the followers of the faith.  39-year-old Jehozadak, a Jehovah's Witness follower had developed decompensated liver disease. 

At Aster CMI Hospital, a team of liver specialists, comprising of Dr. Rajiv Lochan, Dr Sonal Asthana - Consultant Liver Transplant Surgeons, Dr. Mallikarjun Sakpal - Consultant Hepatologist, Dr. Arun V - Consultant Anesthesiologist and Dr. Prakash Doraiswamy - Consultant Intensivist, thoroughly reviewed the patient's medical history before recommending a bloodless liver transplant and charted out a feasible pathway to make the surgery a success. 

“Preparation is key”, says Dr Rajiv Lochan, Consultant Liver Transplant Surgeon. He continued “At Aster CMI, we have reduced blood use by 50% in all our procedures. We follow the WHO recommendation of ‘three pillars of blood management'. This transplant was especially challenging as we did not have the safety net (of using blood) even if the patient's life was at risk due to their advance directive. We have performed other non-transplant liver surgeries in Jehovah's Witnesses and this gave us the confidence to take on Jehozadak's transplant.”

The team spent several counseling sessions with the recipient-donor and family to fully understand the various interventions and supportive measures that could be used during surgery. “Even if their hemoglobin levels dropped to life-threatening levels, the patients were clear that they would not accept a blood transfusion. Keeping the limitations in mind, the most effective treatment path was planned, and we spent close to 2 months preparing the patients for surgery. The hospital arranged customized artificial products like synthetic drug molecules, to conduct a bloodless liver transplant,” said Dr. Arun V, Consultant Anesthesiologist.

Dr. Sonal Asthana, Consultant Liver Transplant Surgeon said “In preparation for the surgery the patient and his brother also had to undergo ‘prehabilitation' – a process during which the brothers strengthened their haematopoietic system to withstand the surgery without external blood transfusion. The patients were given haematinics – Iron and various vitamins and erythropoietin to improve their haemoglobin levels supported by regular physiotherapy and nutrition to strengthen their muscles.”

Without a liver transplant, Jehozadak's chances of survival were less than 10% over the next 2 years. “Typically, during a liver surgery, patients tend to lose a large amount of blood which needs to be replaced for the patient's survival. For a normal liver transplant, doctors keep at least 3-4 units of blood and a similar quantity of plasma/platelets on reserve for the patient. In this case, we had to figure out an alternative,” Dr Mallikarjun Sakpal, Consultant Hepatologist said.

“We instead used a ‘Normo-volemic hemodilution' technique where we took two units each of both the patient and donor's blood and kept it connected to their system throughout the surgery using special equipment so that there is no break in the blood circulation loop. This technique was discussed beforehand with the patient and was in line with their beliefs. The patient lost about 2 Units of blood during this surgery, but through this technique we were able to compensate for the loss,” said Dr Prakash Doraiswamy, Consultant Intensivist. He added that the surgeons used a “cell-salvage” technique during surgery to collect and reuse the blood lost during the surgery.

This kind of cell savage technique is rare, and the technical expertise used to perform this is not widely available in India.

The critical surgery took a 12-hour period to complete where two teams of specialists with close to 25 doctors including anesthetists, intensivists worked in absolute sync with each other and Jehozadak finally received a life-saving liver transplant. In a period of two weeks, the patient and his brother were fit enough to go home and were discharged from the hospital.

The kind of surgical technique and technology required in order to successfully pull off this surgery is par excellence and we are extremely proud of our team for being able to give this patient a new lease of life. India is always seen as one of the preferred medical destinations, the reasons being many on the list such as cost effectiveness, focus on advanced medical technology and availability of skilled medical professionals and we believe that the country's medical tourism sector is expected to become more popular with continuing development in the near future.” said Dr. Nitish Shetty, CEO, Aster Hospitals, Bangalore.



Posted by : GoDubai Editorial Team
Viewed 5618 times
Posted on : Sunday, January 26, 2020  
Replication or redistribution in whole or in part is expressly prohibited without the prior written consent of GoDubai.com.
Previous Story : Medical device manufacturer TECHNO CONCEPT plans to expand its business in the Middle East region fo...
Next Story : SEHA TO SHOWCASE ITS SOLUTIONS FOR THE MENA REGION'S BIGGEST HEALTHCARE CHALLENGES
Email this article Print this article

Share this article with your friends and followers
NewsVine

Comments

Back to Top  
Most Viewed Press Release posted in the last 7 days
DERMAdoctor: Peel the Difference & Boost Your Skin with DERMAdoctor's Vitamin C ...
Kristina Fidelskaya Press Release AW2020
Maybelline's Falsies Lash Lift Make Their Way to the GCC
Top 13 Features of the HONOR MagicWatch 2
Easa Saleh Al Gurg Group Pledges AED 10 Million to DHA to AID Covid-19 Preventio...
Slip into style at home with Steve Madden
Hamdan Bin Mohammed Heritage Center Concludes a Record-Breaking Year for Herita...
Dubai Health Authority Partners With Twitter to Provide Health Information on CO...
Realme Set to Launch Its Latest Range of Smartphones in UAE
HONOR Brings the Brand-New HONOR 9X PRO to Customers in the UAE
Keeping the Community Safe and Informed on COVID-19
Union Coop to Operate 24 Hours With All Goods Available
Sportmax Leather Trend SS 2020
Horological Machine N°10 ‘Bulldog'
Brighten Up With Marina Rinaldi
Carrefour Statement – Opening Hours
Max Mara Bridal 2020
Etisalat Cloudtalk Meeting Now Allows Up to 50 Participants
Cutting-Edge Technology Solutions from TP-Link for Work at Home or Distance Learning
Deema Ajlani Ramadan Capsule Collection, 2020
Perfect Polka Dots
Chronoswiss Timemaster 150'
SCCI Provides Online Attestation Services for All Transactions
The Department of Culture and Tourism – Abu Dhabi Closes All Cultural Sites in t...
Ralph Lauren Collection Spring / Summer 2020
At Home in Karl Lagerfeld
"Stay Home" Instagram Sticker Launches in the UAE
Airbus Announces Measures to Bolster Liquidity and Balance Sheet in Response to ...
Huawei Mobile Services To Explore The Ultimate Potential On HUAWEI P40 Series
NYUAD Researchers Develop New Tool for Performing Cancer Liquid Biopsy and Study...
Etihad Airways to Temporarily Suspend All Services to and From the UAE Following...
Kitchen Appliances Designed With Cleanliness at the Forefront
Emirates Post Group Company Hosts First Remote Board Meeting to Discuss Ongoing ...
Winnie Harlow x Steve Madden Collection
LG Oled TV Again Takes Top Honor at Prestigious Red Dot Design Awards
Schneider Electric Launches Two New UPS Solutions for IoT and Edge Computing App...
Dubai Chamber Urges the Private Sector to Implement Remote Working for Their Emp...
Marks & Spencer Introduces Its Cosy Loungewear Collection for Men
Adamas Motors LLC, One of the First Automotive Dealer's in the United Arab Emira...
A Vast Majority of UAE Working Professionals Claim the Coronavirus Has Impacted ...
Top Personal Trainer Thanks Dubai Sports Council for “Be Fit, Be Safe” Campaign
Natuzzi's Ergo Collection, A Tribute to Mother Nature
What Are the Effects of the Covid-19 Pandemic on Private Healthcare Insurance an...
Expo Centre Sharjah Adopts Several Precautionary Measures at Headquarters and in...
Transform Your Home With Wellness Inspired Pieces From Marks & Spencer
The Methods That Must Be Followed to Avoid Infection With the Corona Virus COVID-19
Al Bastaki: Union Coop Confirms Commitment to International Standards During the...
Etihad Cargo Deploys Cargo-Only Boeing 787s to Complement Freighter Fleet and En...
Pirelli: Cancels Planned 2021 Pirelli Calendar 100,000 Euro Donated to Initiativ...
Hormann Launches Fast Doors Suitable for High Temperature Changes