Transplants

Bone Marrow Transplant

The Bone Marrow Transplant unit at Mazumdar-Shaw Cancer Center (MSCC) situated in NH Health City, Bangalore was established in October 2004 by Dr. Devi Prasad Shetty with a vision to make this treatment affordable to everyone. The unit has completed more than 500 stem cell transplants with approximately 373 of them being allogeneic stem cell transplants. The best example of a non-cancerous disease, which can be completely cured by BMT, is Thalassemia.

Mazumdar Shaw Cancer Center (MSCC), situated in NH Health City, Bangalore, has partnered with Cure Thalassemia (CT), whose focus is 100% Bone Marrow Transplant (BMT) for thalassemia.

Dr. Pietro Sodani (CT co-founder and scientific coordinator) has done more than 400 BMT and has invented BMT from haploidentical mother to child; he works since 10 years with Prof. Lucarelli (CT scientific advisor), the inventor of BMT. Prof. Lucarelli and his team have done more than 1,500 BMT for thalassemia (about 50% of all the BMT done in the world) in the last 30 years and are the worldwide authorities in this field.

Dr. Pietro Sodani gives 2 free opportunities to every thalassemia child and his family who are evaluating to do a BMT to become thalassemia free (no more transfusions):

Advice on BMT via email; ask it to see if you can have BMT, and what the results might be.

Meet him in person in Bangalore at the MSCC. You can also do a BMT at the MSCC with the daily supervision of Dr. Sodani.

A joint co-ordination committee, whose chairman is Dr. Devi Shetty (Chairman, Narayana Health), consisting of executives of both the institutions has been formed, which will oversee the overall functioning of the BMT Unit.

The group has a cord blood facility for public cord blood banking and usage for cord blood transplants. The BMTU established at the Bangalore centre is among very few transplant centres with facility for total body irradiation (TBI). Renowned haematologists, paediatric and medical oncologists along with a highly accomplished team of clinical nurses work together to ensure patient recovery.

Heart Transplant

Heart disease is rapidly becoming a major health concern in our country. What is alarming is that many of these patients are young and are first diagnosed in advanced and terminal stages of the disease, with heart failure. Heart failure is a stage wherein the heart can't function adequately to meet the demands of the body. The patient feels tired, breathless and his body swells up with fluid accumulation. These patients can be managed with medications for some time. However, in terminal stages the medications lose their efficacy and the patient finds it difficult to even speak a few words, walk a few steps or lie down flat.

However, there is hope for such patients. The gold standard in treatment for such patients is Heart Transplantation. The source for a heart is a brain dead patient, i.e., a patient in coma who has no chance of recovering. If the heart in such a patient is normal and functioning, it can be harvested and transplanted to a patient with terminal heart failure. These patients can recover fully and get back to a normal life. Narayana Health is one of the very few centres in the country with an active transplant program.

For patients who are in dire need of a heart transplant and no organ is available, mechanical pumping devices called Ventricular Assist devices or Artificial Hearts are available. These are small pumps which are implanted inside the body, which take over the function of the heart. They run on small 12 volt rechargeable batteries. These batteries and a small controller are situated outside the body and are connected to the pump inside by a small cable that passes through the skin above the umbilicus. They can be left in place until an organ is available for transplant. With technological advancements, the devices currently available are compact, efficient, reliable and very long lasting. They can now be used as alternatives to transplant!

A patient has to be first evaluated to assess the suitability for undergoing an artificial heart implantation. After the surgery, these patients can return to full active life, with very few limitations. Narayana Health has the credit of being the first Hospital in entire Asia to have implanted the latest 3rd generation device for the first time in 2008. Currently we have on offer a device called Heartmate II, made by an American company called Thoratec.

Paediatric Liver Transplant

Narayana Health conducts complex liver surgeries with intra-operative ultrasound guidance, thus making these procedures safer with better outcomes and quicker recovery. For children with liver cancer and chronic liver disease, liver transplants are also provided at NH Health City, Bangalore. We provide a comprehensive one-stop facility for treatment of all kind of gastro-intestinal tract anomalies.

Through a liver transplant surgery a diseased liver is replaced with a healthy liver from donor not necessarily related. Many people have had liver transplants at our facility and now lead normal lives. One of the most common reasons for liver transplant is cirrhosis caused by healthy liver cells being replaced with scarred tissues. Some other indications are: Hepatitis B, Hepatitis C, Alcohol Induced Cirrhosis, Autoimmune Hepatitis, Liver Tumors.

Kidney Transplant - Adult

Often kidney function is not optimized and advanced chronic kidney diseases are diagnosed. For such patients have three options available to manage this problem - haemodialysis, peritoneal dialysis or kidney transplant. Depending on age and the stage of the kidney disease, a nephrologist decides the course of treatment. A successful kidney transplant when indicated provides better quality of life as it prevents long-term issues related to dialysis.

A relatively new procedure Laparoscopic Donor Nephrectomy which is minimally invasive is performed in donor surgeries for transplantation. In this procedure the donor’s kidney is surgically removed through a keyhole. This becomes a boon for the donor since the recovery process is very quick.

Kidney Transplant - Paediatric

Latest medical and technical expertise on global level has made the kidney transplant a successful modality of treatment for patients with reduced or negligible kidney functions. Paediatric Kidney transplant in children less than 18 years has become a reality with very good and encouraging outcomes in form of extremely good quality of life after transplant. It is a general thought in society that kidney transplant is not an option in children and finding a suitable donor for kidney is not possible.

Current medical advancements have made it a reality in children who are over 15 kg of weight and above 4 years of age. Such children can easily accommodate new kidney from adults and the most easily accessible source are one of the Parents or Grandparents who in most cases are willing to donate it to their loving baby. The living donor transplant with either of parents/ grandparents are medically more suitable donors owing to higher chance of genetic matching and hence better post-transplant outcome. In a way they give life to their child once again.

At Narayana Health, we have team of well trained and experienced doctors who are well equipped to manage such transplantation procedures in small children as per the Human Organ Transplantation Act. It comprises of Paediatric Nephrologist who is the anchor of the procedure, Paediatric Surgeons, Urologists and Transplant Coordinator. We have well equipped dedicated Paediatric Transplant Units and Transplant Nursing Units which are equipped to take care of the children very well.