Thursday, February 6, 2020

CMCH performs first cadaver organ harvest, donation

Feb 6, 2020, 04.36 AM IST

Coimbatore: For the first time, the Coimbatore Medical College Hospital (CMCH) on Wednesday declared a patient brain dead and harvested his organs.

The donor patient, a 35-year-old man from Kattabettu in the Nilgiris, had fallen from the top of his under-construction house.

While the CMCH doctors transplanted a kidney into one of their kidney failure patients, the other kidney was donated to a patient in Salem Government Hospital and liver was donated to a private hospital in the city.

Though doctors at CMCH began performing live donor kidney transplants in 2017, they are yet to perform a cadaver transplant as they are yet to harvest organs from a brain-dead patient. However, doctors at Salem GH have had performed first organ harvest on January 21 this year.

Welcoming the first cadaver organ transplant in CMCH, a senior health department official said, “It is critical that government hospitals perform organ harvests, because this way even poor people can access cadaver organs. Only when a GH declares brain death and donates organs, will more organs circulate in the government hospital pool benefitting poor patients.”

CMCH dean Dr B Ashokan said they received a 35-year-old male patient referred from Ooty on February 2. “He had fallen accidentally from a height in his house and suffered head injuries. He was referred to CMCH after being given first aid in a nearby hospital,” he said. “Despite our neurology team treating him, he did not respond,” he said. On Tuesday morning, 48 hours after the accident, doctors performed the first sleep apnea test. By evening, they performed the second test again which elicited no response. The doctors declared him brain dead on Tuesday evening. The hospital’s grief counsellor, appointed by MOHAN foundation, Nishanth, first informed their family and broached the subject of organ donation. The patient’s wife and relatives agreed, said the hospital’s medical superintendent.

The Tamil Nadu Transplant Authority (TRANSTAN) was then informed. They allotted one kidney to a patient in CMCH waiting for a donor, another kidney to a patient in Salem GH and liver to Kovai Medical Centre and Hospital.

Since it was an accidental death and a medico-legal case, it became an uphill task for the authorities to get nod from the Nilgiris police for organ harvest and post-mortem.

The organ harvest surgery began at 11am. By 2pm, the three organs and cornea were harvested. Police organized green corridors CMCH to KMCH and Salem GH. “This is the first time we are harvesting cadaver organs. We hope this is the start of a successful cadaver organ harvest and transplant program,” Dr Ashokan said.

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