Bone Marrow Transplant & Haemato Oncology
The healthy marrow and blood cells are essential to live. Disease can affect marrow’s ability to function and when this happens, a bone marrow or a cord blood transplant is the best treatment option. For some diseases, transplant provides only potential cure but only approximately 25-30% patients have siblings who are eligible to be donors.
A bone marrow or cord blood transplant replaces unhealthy blood forming cells with the healthy ones. The blood forming cells as also called as the blood stem cells which are immature cells that can grow into the red blood cells, white blood cells and platelets. There are two types of transplant:
- Autologous transplant
It uses your own cells collected from the blood stream and stored for your transplant.
- Allogenic transplant
It uses cells from a family member, unrelated donor or umbilical cord blood unit.
At Artemis Transplant Centre, we perform cord blood, unrelated donor and Haplo-identical i.e. taking father or mother as donor for transplant so that all the patients who need transplant can have a donor.
How Transplant Works?
Artemis Transplant Centre has both adult and paediatric transplant physicians to take care of the transplant patients. You will be referred to a doctor who specialises in the bone marrow transplants if you need transplant. Your transplant doctor will talk to you about the type of transplant and cell source that will work best for you after considering your disease and other health factors.
What to Expect After Transplant?
It can about a year for the new bone marrow to function normally. Most patients have improved their quality of life after transplant.
The three sources of blood forming cells used in transplants are:
- Bone marrow
- Umbilical cord blood collected after a baby is born
- Peripheral blood also called peripheral blood stem cell or PBSC
The bone marrow transplant is the only cure for Thalassaemia, Aplastic Anaemia, Lymphoma, immunodeficiencies and Leukemia or blood cancer.
Our Team of Specialists for Bone Marrow Transplant & Hemato Oncology are:
Dr. Rahul Bhargava- Sr. Consultant
Dr. Vikas Dua- Consultant (Paediatrics)
Dr. Aniruddha Purushottam Dayama
Liver Transplant & GI Surgery
Liver transplantation is the surgical replacement of a diseased liver with a healthy liver. It is indicated in case of the end-stage liver disease that is characterized by the patients who suffer from muscle loss and encephalopathy, reduced liver function, poor blood clotting, fatigue, signs of portal hypertension and jaundice. Different liver diseases can lead to the end-stage liver disease. Generally, there are two main categories the first includes the cases that are caused by viruses (Hepatitis B and C) and/or alcohol and the second is those caused by problems concerning the bile ducts i.e. the primary biliary cirrhosis and primary sclerosing cholangitis.
Once the evaluation is completed, the patient is placed on the liver transplant waiting list. In India, MOHAN (Multi Organ Harvesting and Networking) and ORBO (Organ Banking and Retrieval Organisation) promote the organ donation and facilitate the distribution of cadaveric livers. In case of a cadaveric donor organ, the transplant center will receive a liver offer from the ORBO for a specified patient.
There are different sources of donor liver. Usually, the liver is obtained from a cadaveric donor i.e. a person diagnosed as brain dead but whose other organs and systems are functioning properly. Each year, the waiting time is increasing due to a continuous shortage of the donor livers and the high incidences of liver diseases. About hundreds of people die every year while waiting for a cadaveric liver. The donor liver can also be obtained from a family member or a friend who donates a portion of his/her liver to the patient.
In case of a cadaveric donor organ, the transplant centre receives a liver offer from ORBO for a specified patient. Then the patient is notified and admitted to the hospital. The patient is then notified and admitted to the hospital.
While the donor team is procuring the donor liver, the recipient team begins to prepare the patient. The diseased liver is removed and the healthy liver is put in its place. Usually, the operation takes around 6-8 hours. After the operation, the patient starts taking medications to prevent the new liver from being rejected by the body. Complete recovery will take several weeks. Usually, the quality of life for the transplant patients improves dramatically and most of them lead healthy and normal lives.
Our Team of Specialists for Liver Transplant & GI Surgery are:
Dr. Ramdip Ray- Sr. Consultant
Dr. Ravi Chand- Consultant
Dr. Giriraj Bora- Consultant
Dr. Md. Nayeem- Consultant
Dr. Shishir Pareek- Consultant
Dr. Shaleen Agarwal- Sr. Consultant
Dr. Neerav Goyal- Sr. Consultant
Prof. Subhash Gupta- Director
Renal Transplant
It is surgical procedure wherein a kidney from either a healthy living donor or decreased donor or cadaver is implanted in the patient with renal failure. A renal transplant has many limitations such as arranging for a kidney from relatives or close friends which can be a Herculean task at times.
Alternatively, patients can also live on dialysis. It is quite important to understand that without dialysis or transplant, the end stage kidney patient cannot survive at all. Hence, although the dialysis is expensive, at times it is painful and time consuming but it is the only way to live for many years in the face of ESRD.
Dr. Harsha Jauhari is the renowned transplant surgeon at Artemis Transplant Centre and the leading transplant surgeon in India. He was trained in the UK and is also the head of the transplant services at Sir Gangaram Hospital.
Our Team of Specialists for Renal Transplant are:
Dr. Harsha Jauhari- Sr. Consultant
Dr. Pradeep Bansal- Consultant
The other transplant procedure done at Artemis Transplant Centre includes the following:
Cornea Transplant: Cornea Transplant: It involves replacing a damaged cornea with a healthy one from a donor.
Our Team of Specialists are:
Dr. Sameer Kaushal- Sr. Consultant