Lung Transplant Surgeon in Gurgaon and Delhi

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Lung Transplant Surgeon in Gurgaon and Delhi
Lung Transplant In Delhi and Gurgaon, India
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A lung transplant is a surgical procedure to
replace a diseased or failing lung with a healthy
lung, usually from a deceased donor. A lung
transplant is reserved for people who have tried
medications or other treatments, but their
conditions haven't sufficiently improved.
Depending on the medical condition, a lung
transplant may involve replacing one of your
lungs or both of them. In some situations, the
lungs may be transplanted along with a donor
heart.
While a lung transplant is a major operation that
can involve many complications, it can greatly
improve your health and quality of life.
History
Attempts at lung transplantation have occurred as
early as 1946 when Vladimir Demikhov, a Soviet
scientist, attempted single-lung
transplantation in a dog. This transplant
ultimately failed from bronchial
anastomotic dehiscence, and difficulties with
this anastomosis would plague clinical
lung transplantation for the next 40 years. Henri
Metras, in 1950, reported the first successful
dog lung transplant and the first bronchial
artery and left atrial anastomoses. In a nonhuman
primate model, performed lung reimplantation and
showed that these lungs were able to maintain
function postoperatively, despite denervation. On
June 11, 1963, reported the first human lung
transplant however, the patient died from kidney
failure after 18 d. The first real survivor
during this early era of lung transplantation
was a patient of Fritz Deroms in Belgium.This
patient, however, survived only 10 mo. The
failure of this early experience in clinical lung
transplantation can be summarized by inadequate
immunosuppression and difficulties with
the bronchial anastomosis.
The advent of cyclosporine brought about
significant improvements in patient survival
following liver and kidney transplantation. This
led to a resurgence of interest in heart/lung
transplantation in Stanford and
lung transplantation in Toronto. The first
successful combined heartlung transplant was
completed by Reitz and colleagues and showed that
a grafted lung could survive and function in a
recipient. Research performed by Coopers group
in Toronto showed that corticosteroid use
appeared to be a significant factor in the
weakness of the bronchial anastomosis. With the
use of cyclosporine, corticosteroid use could be
reduced, leading to improved bronchial healing.
In 1986, the Toronto Lung Transplant Program
reported
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the first successful single-lung transplantations
for two patients with pulmonary fibrosis. This
team went on to perform the first successful
double- lung transplant, first with an en bloc
technique that used a tracheal anastomosis, then
evolving to the bilateral sequential
transplantation technique that not only improved
airway healing, but also had the
additional benefit of avoiding cardiopulmonary
bypass, if desired. This technique remains the
standard technique in use to this day.
Indication Lung transplantation is indicated for
patients with chronic, end-stage lung disease who
are failing maximal medical therapy, or for whom
no effective medical therapy exists. General
indications include
? Untreatable end-stage pulmonary disease of any
etiology
? Substantial limitation of daily activities ?
Limited life expectancy
? Ambulatory patient with rehabilitation
potential ? Acceptable nutritional status
? Satisfactory psychosocial profile and emotional
support system
Some of the diseases that may require a lung
transplant among this population include
? Chronic obstructive pulmonary disease (COPD)
? Cystic fibrosis and bronchiectasis for other
causes ? Idiopathic pulmonary fibrosis and
non-specific interstitial pneumonia ? Pulmonary
hypertension
? Sarcoidosis
? Lymphangioleiomyomatosis
? Bronchoalveolar carcinoma
? Re-transplant bronchiolitis obliterans ?
Bronchopulmonary dysplasia or chronic lung
disease ? Heart disease or heart defects
affecting the lungs
Types of transplant There are 3 main types of
lung transplant
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A single lung transplant where a single damaged
lung is removed from the recipient and replaced
with a lung from the donor this is often used
to treat pulmonary fibrosis, but it's not
suitable for people with cystic fibrosis because
infection will spread from the remaining lung to
the donated lung. A double lung transplant
where both lungs are removed and replaced with 2
donated lungs this is usually the main treatment
option for people with cystic fibrosis or COPD.
A heart-lung transplant where the heart and
both lungs are removed and replaced with a
donated heart and lungs this is often
recommended for people with severe pulmonary
hypertension. The demand for lung transplants is
far greater than the available supply of donated
lungs. This means a transplant will only be
carried out if it's thought there's a
relatively good chance of it being successful.
What is the procedure for lung transplant?
Lung transplantation is a complex surgical
procedure performed to replace a diseased or
damaged lung with a healthy lung from a donor.
Here is a general overview of the procedure
1. Evaluation and Listing The process begins
with an extensive evaluation to determine if a
patient is a suitable candidate for lung
transplantation. The evaluation involves medical
tests, imaging studies, and consultations with
a transplant team, including pulmonologists,
surgeons, psychologists, and social workers. If
the patient meets the criteria, they are placed
on a waiting list for a suitable donor organ.
2. Waiting for a Donor While waiting for a
suitable donor, the patient undergoes regular
check-ups and medical monitoring. The waiting
time can
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vary significantly, ranging from days to months
or even longer, depending on the availability of
donor lungs that match the patient's blood type,
tissue compatibility, and size.
3. Organ Matching When a potential donor organ
becomes available, a thorough assessment is
conducted to determine its suitability
for transplantation. The donor lung is evaluated
based on factors such as blood type
compatibility, tissue compatibility, size
matching, and overall organ function.
4. Preparing for Surgery Once a suitable donor
lung is identified, the patient is notified, and
preparations for surgery begin. The patient is
admitted to the hospital, and pre-operative tests
and procedures are performed. These may include
blood tests, imaging studies, lung function
tests, and discussions about the surgical process.
5. Anesthesia and Incision On the day of
surgery, the patient is brought to the operating
room, and general anesthesia is administered. The
surgeon makes an incision in the chest to access
the diseased lung.
6. Lung Removal The surgeon carefully removes
the diseased lung while preserving surrounding
blood vessels and airways. In some cases,
both lungs may need to be removed, depending on
the patient's condition.
7. Donor Lung Implantation The healthy donor
lung is prepared for transplantation by
connecting the blood vessels and airways. The
surgeon carefully sutures the blood vessels and
airways of the new lung to the patient's existing
blood vessels and airways.
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8. Chest Closure After the new lung is securely
in place, the surgeon closes the incision in the
chest using sutures or staples. Chest tubes may
be inserted to drain excess fluid and air from
the surgical site.
9. Recovery and Post-Transplant Care The patient
is transferred to the intensive care unit (ICU)
or a specialized transplant unit for
close monitoring. Recovery after lung
transplantation can be challenging, and
the patient may need to stay in the hospital for
several weeks. They will receive immunosuppressive
medications to prevent organ rejection and
undergo extensive rehabilitation, including
physical therapy and respiratory exercises.
10.Follow-up Care After discharge, the patient
continues to receive ongoing care and regular
follow-up visits with the transplant team.
Long-term management involves taking
immunosuppressive medications, monitoring lung
function, and adopting a healthy lifestyle to
promote overall well- being.
It's important to note that this is a general
overview, and the specific details of the
procedure can vary depending on the patient's
condition, the transplant center, and the
surgical techniques employed by the medical team.
Lung Transplant Surgeons in Gurgaon
Are you looking for the best lung transplant
surgery in India at an affordable cost? Meet Dr.
Harsh Vardhan Puri, a Lung Transplant Surgeon in
Gurgaon and Delhi, India, who provides Lung
Transplant.