Transplanting best practices

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Transplanting best practices

Article:

  1. Sanjay Nagral, Surgeon, emphasized on controversy over large percentage of foreigners receiving cardiac transplant from decreased donar’s in India.

Important Analysis:

2. Heart transplantation has always been in public eye, Christian Barnand performed the first successful human heart transplant in 1967, in Cape Town, Africa.

3. Controversy:

  • Large number of foreigners receiving cardiac transplants from donars in India.
  • The debate around it is important as it emphasized the loopholes in transplantation policy in India.

4. Organ transplantation in India:

  • Organ transplant in India is mostly conducted in private hospitals.
  • The cost of transplantation is very high.
  • Cardiovascular practice in India is largely dominated by bypass and stenting for ischemic heart disease.
  • Tamil Nadu’s deceased donar programme is one of the best in the country.
  • In India, there is need for transparency in the organ allocation process.
  • It is also important to address certain key drivers behind foreigners getting cardiac transplant.
  • Hard policy changes like :
  1. Strengthening the capacity of the public sector.
  2. Subsidising transplantation
  3. Enabling affirmative action in the allocation process in favour of public hospitals.
  4. Need to build high public trust in their respective nationalized health schemes like Europe
What is organ donation?

  • Organ donation is the donation of biological tissue or an organ of the human body, from a living or dead person to a living recipient in need of a transplantation.
  • Transplant: A transplant is a medical procedure where one person’s dysfunctional organ or tissue is replaced by that of a healthy person, thus restoring its function.

Different types of organ donation:

Living Donation:

  • Living donation takes place when a living person donates an organ (or part of an organ) for transplantation to another person.

Deceased Cadaver Donation:

  • An organ or part of an organ given at the time of donor’s death. (Cadaver means corpse)
  • Donated after the donor is declared brain dead.
  • Brain death is the total and irreversible loss of all brain functions.
  • Brain dead persons are kept on ventilators (artificial support) to ensure all organs remain oxygenated and healthy until they are harvested.
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