2 year old little girl undergoes South Asia's First paediatric auxiliary Liver Transplant.
- Seriously sick Yasmin, one of three children in the world under 3 of age, to undergo this innovative & complex surgery for acute liver failure
- She has now made a remarkable recovery and can now look forward to a normal life, without immunosuppressive medication
July 03, 2012, Chennai:
Hepatitis A attacked an unsuspecting 2 year old Yasmin from Oman who
developed hepatic coma was being fast tracked by fate into a rapidly
looming liver failure. The onset of this affliction, her condition
deteriorated in the form of an increasing jaundice, coagulopathy,
seizures, difficulty in ventilation, decreased urine output and coma.
The doctors at Oman referred her to Dr Naresh Shanmugam, Child liver
specialist at Global Health City.
Baby Yasmin was airlifted from Oman. Yasmin was
admitted at Global Health City in a very critical condition with brain
swelling, blood coagulopathy, very high ammonia and jaundice, secondary
to liver failure. Her condition was stabilized by paediatric intensive
care team at Global Health City. After due consideration by the liver
transplant team, the diagnosis indicated that auxiliary liver transplant
will be the best option for cure. The 10 hour complex surgery
performed by Prof Mohamed Rela & team, where portion of Yasmin’s
liver was removed and replaced with a small portion of her uncle’s
liver. Post –operative course was stormy due to the toxins released
from the remaining portion of yasmin’s liver, which was effectively
managed by expert paediatric liver intensive care team headed by Dr.
Naresh Shanmugam. Within next four days her liver function reverted to
normal. Two months after surgery, she is kept alive by the donor
liver but her own liver has also started functioning and probably in
next six months time when her own liver is fully functional all her
medications will be stopped and she can lead a normal life like any
other child.
The 10 hour surgery performed on 21/4/2012 at
Global Health City by Prof. Mohamed Rela, Dr. Rajasekhar Perumalla, Dr.
Venugopal, Dr. Gomathy Narasimhan, Dr. Vivekanandan, Dr. Srinivas Reddy
along with other specialists.
Speaking on Auxiliary liver
transplant Prof. Mohamed Rela, Head of the Department, HPB & Liver
Transplantation Global Health City said “Transplant
program at Global Health City has evolved from a sustained commitment to
world class surgical expertise. Auxiliary liver transplant embraces the
latest and the best technologies available in the international
healthcare market and gives children a second chance to live a normal
life.”
Speaking on the modus operandi of the
complex surgery Dr. Naresh P Shanmugam, Senior Consultant Pediatric
Hepatologist & Gasteroenterologist, Global Health City said
“There is a huge requirement for pediatric liver transplant in India
because of the incidence of the disease in the children. This innovative
technique of Auxiliary liver transplant gives a second chance to live a
normal life when the child’s own liver regenerates and a life free of
any medications and medical follow ups. “
Liver is an organ that can regenerate. In acute
liver failure, if we could temporarily support the liver function until
native liver regenerates transplantation could be avoided. Unlike kidney
dialysis machine there is no effective liver dialysis machine that
could support during liver failure. Instead, a small portion of donor
liver could be transplanted along side of native liver; this
transplanted liver would work as a temporary dialysis machine. When the
native liver regenerated after few months time, immune suppression can
be stopped and the transplanted liver atropies. The patient could live
with their own liver in a healthy manner.
Thanks for sharing such a great information.
ReplyDeleteYou can also view more about liver transplant centers in india
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ReplyDeletesuch a brave girl may god bless her and salute to our medical science.
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