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MBBS | DNB (General Surgery, Gold Medalist) | DNB (Thoracic Surgery, Gold Medalist)
Thoracic & Lung Transplant Surgeon | Medanta – The Medicity, Gurugram
MBBS | DNB (General Surgery, Gold Medalist) | DNB (Thoracic Surgery, Gold Medalist)
Thoracic & Lung Transplant Surgeon | Medanta – The Medicity, Gurugram
Lung transplantation is a complex surgical procedure performed to replace a diseased or failing lung with a healthy donor lung. This life-saving procedure is often considered as a last resort for individuals with end-stage lung diseases that have not responded to other medical treatments. Lung transplantation can significantly improve the quality of life and extend the lifespan of eligible patients. However, it is a major surgery with potential risks and complications, and careful evaluation and patient selection are crucial for successful outcomes.
Once deemed eligible for lung transplantation, patients are placed on the national or regional transplant waiting list. Donor lungs are matched with recipients based on various factors, including blood type, size of the donor and recipient, lung function, and the urgency of the patient’s condition
While waiting for a suitable donor, patients are closely monitored and receive ongoing medical care to manage their lung disease and optimize their health for the transplant. This may involve medications, pulmonary rehabilitation, and other supportive treatments
When a suitable donor becomes available, the transplantation team coordinates the retrieval of the donor lungs. The donor lungs are procured from brain-dead or deceased individuals who have voluntarily registered as organ donors or whose families have consented to organ donation
The lung transplant surgery is performed under general anesthesia and typically involves the following steps:
Following the surgery, the patient is transferred to the intensive care unit (ICU) for close monitoring and critical care. The recovery period can vary depending on the individual and the complexity of the surgery. Patients may require mechanical ventilation initially, but as the transplanted lung begins to function, they are gradually weaned off the ventilator
Lung transplant recipients must take lifelong immunosuppressive medications to prevent the body’s immune system from rejecting the donor lung. These medications suppress the immune response, but they also increase the risk of infections and other complications. Finding the right balance of immunosuppression is crucial to prevent rejection while minimizing side effects
After leaving the hospital, patients undergo a period of rehabilitation to regain strength and lung function. Regular follow-up visits with the transplant team are scheduled to monitor the health of the transplanted lung, manage medications, and address any complications or concerns
Lung transplantation is a major surgery with potential risks and complications, including:
The long-term prognosis for lung transplant recipients can vary depending on various factors, including the underlying lung disease, age, overall health, and adherence to medical recommendations. With advances in transplant medicine, many lung transplant recipients experience improved quality of life and survival rates. However, lifelong medical management and adherence to follow-up care are essential to ensure the best possible outcomes.
See, lung transplantation is basically replacing your damaged lung with a healthy donor lung. It’s like getting a new engine for your car, but much more complex. We only recommend it when other treatments haven’t worked.
That depends on several factors, dear. We’ll need to do a complete evaluation of your health, age, medical history, and lifestyle. Not everyone needs a transplant, but if you do, we’ll make sure you’re fully prepared.
Actually, waiting time varies quite a bit. Could be a few weeks to several months. We register you in the transplant registry and priority is given based on the seniority. Meanwhile, we’ll keep you in the best possible condition.”
In our experience, success rates are quite encouraging. About 80-85% of patients do well in the first year. But remember, success depends a lot on following post-transplant care properly.
In our experience, success rates are quite encouraging. About 80-85% of patients do well in the first year. But remember, success depends a lot on following post-transplant care properly.
Typically, patients stay about 3 weeks if everything goes smoothly. First few days in ICU, then we shift to a regular room. But everyone recovers differently, so don’t compare with others.
Let’s be honest – transplantation is an expensive procedure. But we’ll help you understand insurance coverage, and our team can guide you about financial planning. We want the best care possible within your means.
Yes, absolutely. You’ll need dedicated family support for at least 3 months, which is crucial during recovery. We’ll train your family members about proper care
You’ll need immunosuppressants lifelong to prevent rejection. Plus some other medicines for infection prevention. Don’t worry, we’ll give a proper schedule and our team will monitor regularly
Main risks are rejection and infection. But with modern medications and proper care, we manage these quite well. Regular check-ups help us catch any problems early.”
Actually, exercise is a very important part of recovery. We’ll start with breathing exercises, then gradually increase to walking and other activities. Our physiotherapy team will guide you properly.
Initially, you’ll need a high-protein, clean diet. All cooked food – no raw foods/ vegetables for the first few months as they carry chances of contamination and infection. We’ll give a detailed diet plan, and our nutritionist will help you plan meals.
For the 1st year, we want to see you every three months. After 1 year till 5 years we can meet every 6 months. Thereafter, annual check-ups are suffucient. Needless to say, we will be connected with you always on a “whatsapp group”, where we can communicate on a daily basis or whenever necessary. Remember, you will become a “new family member” to us.
Watch for fever, breathing difficulty, decreased exercise tolerance, or any new symptoms. Better to be overcautious and contact us if you’re worried. We’re always here.
Most of our patients return to quite normal life. Many even resume working, traveling, and other activities. Quality of life usually improves significantly, but you must stay committed to follow-up care.
Note: Remember, a transplant journey is like a marathon, not a sprint. Our entire team will be with you at every step. Success depends on good partnership between doctor and patient.
MBBS | DNB (General Surgery, Gold Medalist) DNB (Thoracic Surgery, Gold Medalist)
Thoracic & Lung Transplant Surgeon
Medanta – The Medicity, Gurugram
An esteemed thoracic surgeon, excels in minimally invasive procedures (VATS & Robotic surgery) for both benign and malignant lung conditions. With a stellar academic background and international training, he is dedicated to offering compassionate and expert patient care.
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