Global Hospitals Mumbai, is Western India’s most comprehensive multi organ transplant centre. With more than 500 Liver and Kidney Transplants and active programs in Hand, Heart, Intestine, Lung, Pancreas and Bone Marrow transplant, the Hospital offers multidisciplinary care for all Transplants under one roof.
The Hospital has been awarded Best Hospital for Multi Organ Transplant in Western India for consecutive 3 years. The team is adept at handling all solid organ transplants including dual organ and multivisceral transplants and also Complex Vascular Composite Allograft (Hand) transplants.
The Hospital is the only one in India to perform a successful Bilateral Hand Transplants in a quadruple amputee and a Bilateral Hand Transplant with a partial hand transplant
Liver is the only organ in the human body which can regenerate. Liver is the vital organ performing important functions of the body. Liver dysfunction can be managed medically, However Cirrhosis or End stage liver disease needs liver transplant as definitive cure. The Global hospital, Mumbai is western India’s leading liver transplant center. Moreover we have a team of 20 doctors dedicated to manage liver transplant patients. Team includes Transplant hepatologists, HPB surgeons, Liver Intensivists, Liver anesthetists, Pediatric hepatologist and interventional radiologist. We deal with various types of liver transplant which includes Living donor liver transplant (LDLT), Diseases donor liver transplant (DDLT), ABO incompatible liver transplant, Auxiliary liver transplant etc. Our center is recognized as one of the best in the country in management of acute liver failure (ALF) and Acute on chronic liver failure (ACLF) patients. Also we have leading edge technologies, research sources, fully equipped ICU and OT which makes Global hospital the health care destination of choice for national as well as international patients.
We have done more than 600 + liver transplants .The success rate for liver transplant at our center is 97%.
Liver diseases are divided in to two main categories Acute and Chronic. Acute liver diseases are viral hepatitis (A and E), liver abscess, liver infection which needs medical management. However, chronic liver diseases include cirrhosis of liver, chronic viral hepatitis (B and C), Hepatobiliary malignancies etc which needs aggressive monitoring, medical as well as surgical management including liver transplant. Now a day Nonalcoholic Fatty liver diseases (NAFLD) also called as fatty liver is soaring due to unhealthy lifestyle, obesity and insulin resistance which after few years can causes fibrosis, cirrhosis and sometimes hepatocellular carcinoma (cancer). The only treatment for fatty liver is early detection and evaluation of the disease progress which can help in managing these patients with medication as well as proper dietician consultation if needed.
We have dedicated 8 beds for critically ill liver patients and 7 beds for immediate post liver transplant patients which are monitored and managed by trained liver Intensivist working round a clock. Also we have dedicated high edge technologies in the operation theater required for liver transplant where 12-15 liver transplants are done in a month. We believe in a team work where everyone thinks about best line of treatment including pre and post-transplant patients.
In today’s era liver transplant has gained huge success. The success rate for liver transplant including LDLT and DDLT across all over the world is around 80-85 %. We are able to achieve success rate upto 95 % with great effort and team work. Also these statistics numbers are extraordinary due to patient compliance and regular follow up with stream line communication with the transplant coordinators and doctors.
Intestinal failure is inability of the intestines to adequately digest and absorb the food we eat to meet the nutritional demands of the body. Small bowel transplant is a procedure in which the small intestines are transplanted into a recipient from a deceased or a living donor.
These patients suffer from malnutrition and have progressive weight loss. They need to be started on artificial nutrition which is expensive and is associated with complications such as life threatening infection.
Intestinal transplant is the treatment of choice for these patients with intestinal failure.
The recovery period from the transplant takes 2 to 3 weeks. Patients can lead a normal life and consume a normal diet post transplant.
Seventy five percent patients are able to have successful outcomes and can be weaned off artificial nutrition.
Cadaveric (brain dead) donors
Living donors
Global Hospital, Parel, Mumbai brief about Kidney Transplant
The Global hospital began its functioning in August 2012.
The first department in the hospital to be registered for kidney transplant and first kidney transplant was performed in August 2013.
Global Hospital, Parel , Mumbai provides all forms of nephrology (kidney) services. All kinds of kidney diseases are managed in outpatient and inpatient department. As regards renal replacement therapy, all forms of treatment are provided. This includes peritoneal dialysis (CAPD and automated PD), intermittent hemodialysis and hemodiafiltration, slow low efficiency dialysis (SLED), continuous renal replacement therapy. The IRS also does plasma exchange.
Global Hospital ,Parel ,Mumbai has one of the most active kidney transplant program. It is possibly no. one in performing preemptive kidney transplants. It is also one of the most active centers performing ABO incompatible kidney transplants.
The most important activity is patient education by way of weekly kidney workshops. This helps patients in taking care of their kidneys and planning the most appropriate treatment for their kidney disease.
As we all know, Heart and Lungs are one of the most important organs in the body. The heart and lungs work as a single unit for delivery and transport of oxygen to each and every organ and part of the body. Any significant dysfunction of this cardiorespiratory unit can lead to significant and sometimes irreversible changes in other organs like brain, kidney ,liver , intestine and also contribute to general ill-health.
Any patient who has a heart function of 25 % or lower should meet one Heart failure specialist or a heart transplant surgeon and get a full work up done.
Lung transplant is usually reserved for patients who have severe restriction of lung function and usually require home oxygen therapy.
Common causes of severe lung dysfunction are COPD (smokers lung) , Interstitial lung disease due to chemicals , dust , industrial exposure to toxins and hypersensitive reactions to some allergens.
Most of the patients complain of shortness of breath with reduction of saturation to below 90 % on simple walking and dependency on home oxygen. Few of them may present with severe carbon dioxide retention requiting a ventilator or Use of ECMO (extra corporeal membrane oxygenation).
Few newer medications like anti fibrotic medications can be used in patients to reduce the progression of symoptoms after diagnosis though they need to be in a close watch of a transplant pulmonologist and Lung transplant surgeon.
Hand transplant is a surgical procedure to transplant one or both hands from one human being to another. The donor hand comes from a brain-dead donor.
Hand transplant can be considered for people who have lost one or both hands for any reason (road-traffic accident, industrial or agricultural accidents, electrocution, burns, sepsis, etc). The loss of partial hand or few digits can be managed by reconstructive surgery. However, if all fingers or entire hand is lost, there is no satisfactory reconstruction possible.
There is no good functional prosthesis for the hand, even in today’s advanced computer era. Artificial hands provide very limited function, and are often given up by the hand amputees.
Hand transplant is the only option for these amputees, which can help them to regain useful hand function in order to live an independent life. In appropriately selected candidates, this is the best rehabilitative option.
All potential recipients for hand transplantation undergo a detailed consultation to understand the complexity and magnitude of the entire procedure. A thorough clinical examination is performed to assess the technical possibility of the procedure. This is followed by detailed investigations and consultation with multiple other specialists involved in the transplantation process. After a detailed psychosocial assessment, the patient is then listed for hand transplantation with the competent authorities of the state government. Following this, we have to wait for a suitable brain-dead donor to donate his hands, which can be attached to the recipient, after appropriate cross-matching. Blood group and HLA cross-match are crucial for the final decision making.
The hand transplant surgery is technically complex and challenging surgery, and it needs a large multidisciplinary team of Plastic and Hand Surgeons, skilled with microsurgical expertise. The transplant surgery needs coordination between all the team members. The average operating time for single hand transplant is 8-10 hours and for double hand transplant is 15-18 hours.
Pre-operative matching of the donor and recipient is performed to ensure compatibility for transplantation. Before surgery, the recipient is started with immunosuppressive medications to avoid rejection of the transplanted hand.
The donor hand is attached to the recipient part by part – bones are fixed first, followed by repair of major blood vessels, tendons, nerves and skin.
Following the surgery, the recipient is closely monitored by the ICU team to ensure smooth hemodynamic recovery. The patient is shifted out of the ICU after 10-14 days. The early physiotherapy and rehabilitation start few days after the surgery and continues throughout the stay of the patient. The patient is usually discharged 3-4 weeks after the surgery.
Hand transplantation is the only procedure which restores a normal physical appearance, with good motor and sensory function, comparable to a normal hand.
No other method of reconstructive surgery or prosthetics can provide a comparable solution or outcome for a hand amputee.
Global Hospitals, Parel, Mumbai is a leading transplant center in Mumbai and Western India. We have the most cutting-edge equipment, carry out innovative new procedures, and follow the best protocols in reconstructive transplantation surgery.
You could not be in better hands to receive this wonderful new opportunity, and live your own life again, on your own independent terms.
