Multiple Organ Transplant in India

Organ Transplantation

Organ Transplantation is the Life-Saving Therapy for End-Stage Organ Failure. The most commonly Transplanted Organs are the Kidney, Liver, Heart, Lungs, Bone Marrow, Pancreas and Intestines.

Transplantation is the Act of Surgical Removal of an Organ from One Person and Placing it into another person. Transplantation is needed when the Recipient’s Organ has Failed or has been Damaged due to Illness or Injury.

Organ Donation

Organ Donation means giving part of body (Organ) to a Person with End Stage Organ Disease who needs a Transplant.

An Organ is a part of the body that performs a specific function: like Heart, Lungs, Kidney, Liver etc. The Organs that can be Donated for Transplantation include Kidney, Liver, Heart, Lungs, and Small Bowel and Tissues such as Corneas, Heart Valves, Skin and Bone.

Tissue means a Group of Cells performing a particular function in the Human Body such as Bone, Skin, Cornea of the Eye, Heart Valve, Blood Vessels, Nerves and Tendon etc.

Types of Organ Donation

Living Donor Organ Donation

A person during his life can Donate one Kidney (The other Kidney is Capable of Maintaining the Body Functions Adequately for the Donor), A Portion of Pancreas (Half of the Pancreas is Adequate for Sustaining Pancreatic Functions) and a Part of the Liver (The Segments of Liver will Regenerate after a period of time in both Recipient and Donor).

Living Donor is any person not less than 18 Years of Age, who Voluntarily authorizes the Removal of any of his Organ or Tissue, during his or her lifetime, as per Prevalent Medical Practices for Therapeutic purposes.

Types of Living Organ Donation

01. Living Near Related Donors: Only Immediate Blood Relations are accepted usually as Donors viz., Parents, Siblings, Children, Grandparents and Grandchildren (THOA Rules 2014). Spouse is also accepted as a Living Donor in the category of Near Relative and is permitted to be a donor.

02. Living Non- near relative Donors: are other than Near Relative of Recipient or Patient. They can Donate only for the reason of Affection and Attachment towards the Recipient or for any other special reason.

03. SWAP Donors: In those cases, where the Living Near-Relative Donor is Incompatible with the Recipient, Provision for Swapping of Donors between two such pairs exists, when Donor of first pair matches with the second Recipient and Donor of second pair matches with the first Recipient This is permissible only for Near Relatives as Donors.

Deceased Donor Organ Donation:

A person can Donate Multiple Organ and Tissues after (Brain-Stem/Cardiac) Death. His/Her Organ continues to Live in another person’s body.

Deceased Donor is anyone, Regardless of Age, Race or Gender can become an Organ and Tissue Donor after his or her Death (Brainstem/Cardiac). Consent of Near Relative or a Person in Lawful Possession of the Dead body is required. If the deceased Donor is under the age of 18 years, then the consent required from one of the Parent or any Near Relative Authorized by the Parents is essential. Medical suitability for donation is determined at the time of death.

National Organ transplant program

Directorate General of Health Services, Government of India is implementing National Organ Transplant Programme for carrying out the activities as per Amendment Act, Training of Manpower and Promoting Organ Donation from Deceased Persons.

Objectives of National Organ Transplant Program

01. To Organize a System of Organ and Tissue Procurement & Distribution for Transplantation.

02. To Promote Deceased Organ and Tissue Donation.

03. To Train required Manpower.

04. To Protect Vulnerable Poor from Organ Trafficking.

05. To Monitor Organ and Tissue Transplant Services and bring about Policy and Programme Corrections/ Changes whenever needed.

National Organ and Tissue Transplant Organization (NOTTO)

National Organ and Tissue Transplant Organization (NOTTO) is a National level Organization set up under Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India. National Network division of NOTTO functions as apex Centre for Coordinating all Activities and Networking for Procurement and Distribution of Organs and Tissues and Maintaining Registry of Organs and Tissues Donation and Transplantation in the Country.

Legal Frame Work in India

In India Transplantation of Human Organs Act was passed in 1994. It Provides a System to Regulate Removal, Storage and Transplantation of Human Organs for Therapeutic Purposes and for Prevention of Commercial Dealings in human Organs. Consequently, this act was amended in 2011. In pursuance to the amendment Act 2011, Transplantation of Human Organs and Tissues Rules 2014 have been notified in March 2014.

Types of Organ Transplant in India

Cost Analysis of Organ Transplant Surgery

  Heart Transplant in India

   01. Cost Starting from $50,000 to $80,000

   02. 30 to 45 Days in Hospital

   03. 60 to 90 Days Stay in India

  Eye Transplant in India

   01. Cost Starting from $2,000 to $7,000

   02. 3 to 4 Days in Hospital

   03. 7 to 12 Days Stay in India

  Note:

   01. The Cost Analysis are based upon the Type of treatment or Surgery Required by the Patient and it also depends on the Patient’s           Current Medical Condition.

   02. The Cost, Days required in Hospital and Days of Stay in India Depends upon the Surgery or Treatment Type recommended by Doctor       of Our Partner Healthcare Hospitals.

   03. If you as a Patient Compare the Cost of Surgery or Treatment in India with Other Western Countries, You will Understand that we Med   Treatment India Help you and Provide you the Most Affordable Medical Assistance and Treatment in India.

Things a Healthcare Provider Should Verify Before Transplant

Following Forms Must Be Talked About between The Patient, Patient Family and Healthcare Provider Before Transplant:

Form 1: Near-Relative Consent

Form 2: Spouse Consent

Form 3: Other than Near-Relative Donor Consent

Form 4: Psychiatrist Evaluation of the Donor

Form 5: HLA DNA Profiling Report

Form 6: Self Consent for Deceased Donation

Form 7: Consent for Organ Donation from Family (also Applicable for Minors)

Form 8: Consent for Organ Donation from Unclaimed Bodies

Form 9: Brain Death Declaration Form

Form 10: Joint Transplant Application by Donor / Recipient

Form 11: Registration of Hospital for Organ Transplantation

Form 12: Registration of Hospital for Organ Retrieval

Form 13: Grant of Registration

Form 14: Renewal of Registration

Form 15: Decision by Hospital Authorization Committee

Form 16: Decision by District Authorization Committee

Form 17: Verification of Domicile for Non-Near-Relative

Form 18: Letter from Embassy