First cardaveric liver transplant performed | Pakistan Today

First cardaveric liver transplant performed

The first cardaveric liver transplant in Pakistan was performed at the Sheikh Zayed Hospital Lahore, a hospital spokesman said on Friday. The hospital management was grateful to the family who allowed them to take the liver of their beloved. The transplant had support of the prime minister, cabinet secretary and cabinet division, the spokesman said.



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12 Comments

  1. Khawaja Salim Ahmed said:

    It is a very heartening news in Pakistan that doctors for the very first time have operated upon a patient for livertransplant, which has been claimed as completely successful. This will go a long way for the patients suffering from liver diseases and are waiting for transplant who could not afford the operation outside Pakistan because of it's cost abroad. My salute to the whole team of Doctors, technicians and paramedical staff and literally all the persons involved in this venture especially the management of Sheikh Zaid Hospital, Lahore-Pakistan. InshaAllah in future this will prove a potential foreign exchange earner for Pakistan, if everything goes alright by the grace of Almighty Allah. God bless youu all. KHAWAJA SALIM AHMED

  2. Yasin Arshad said:

    Congratulation on Successful liver transplant in Sheik Zaid Hospital, Lahore, Pakistan. I pray to Allah for the regular start of Liver Transplant surgery in Shiekh Zaid @100% success rates. Meanwhile, I am not sure, if Doctors are still able to manage the "Living Donor" based Liver Transplant surgeries in hospital or not. Honestly, we not only need Liver Transplant Centers in Pakistan but also quality treatment by getting help of Senior Transplant Surgeons but also staff must be fully trained as per the requirement.

    Moreover, Cost of the treatment must not be more than 20 Lakh. Services and Liver Transplant packages must be up to the International Standards and 0 Margin of Lack in services for post transplant care units or POTU – Post Organ Transplant Unit. Staff must be fully trained and there must be two teams of doctors, one for transplant surgeries and second for post transplant care advisers / Hepatalogist and Gastrologist. Help Desk and Communication system must be introduced in the Hospital. Special Restrictions, Care and Caution broads should be fixed out side of the Transplant Based ICUs. Deserving Patients must be treated free of cost and also provided medicine on annual basis. There must be a blood test center which manage the cases and complete the full file for the patient and Donor. So that Donor and patient must not waste more time. Its good if Shiekh Zaid Hospital Doctors are working as per the registered patient List. But I think they must choose the patient as per the worst condition first treat and consider on first place. A Medical Team / Board of Senior Professor Doctors must be Introduced, who foresee and advise for the best of the center.

    Yasin Arshad http://express.com.pk/epaper/PoPupwindow.aspx?newhttp://www.facebook.com/save.my.mothers.life http://www.facebook.com/yasin101

  3. TARIQ FAZAL said:

    The team of Sheikh Zaid Hospital deserve praise and appreciation for their outstanding achievement.However, if the good work is to be coninued an uninterupted availability of donors must be ensured, which is not an easy task given the absence of any significant tradition of organs donation in Pakistan. A wide spread agressive media campaign must be launched throughout the country to motivate the would be donors from religious and humanitarian grounds.

  4. m naeem mughal said:

    congratulation to sheikh zayed hospital doctors. but we r very tens because after the
    a successful transplant suddenly doctors have on strike . very shame ,
    many peoples come very far at sheikh z hospital on tuesday ,
    after 2 hour wait suddenly announce that today or unknown strike on doctors.
    plz do something government of pakistan

  5. Shahzad said:

    Congrats to All doctors in shaeikh zaid hospital:
    Actually I was very glad to know that now pakistanies doctor are able to do the transplante, But why they stoped their brillient effort. My mother is suffering in this disease and doctors are suggested her for the transplant but we can not travell to other country. I am waiting, that when will start the transplant on regular bassis.
    Please Keep it up.

  6. DR.AMNA said:

    salam, fellows i read all the comments.In all comments we congrat doctors and the fact is that it was a team work in which nurses have 50% role .We should congrat all the team not only the doctors there is no doubt that doctors done very well and we proud of our doctors but nurses and other para medics also have their role and they deserve these congrats comments.So think………… thanks

  7. dr mian aziz said:

    I don't know when government of Pakistan start this project but if someone is serious he should go to India
    in India liver transplant cost is 38lac Pakistani rupees and there successful rate is very good
    if anybody want further information
    contact
    [email protected]
    +92-3226030505
    +92-3224008472

  8. dr mian aziz said:

    I don’t know when government of Pakistan start this liver transplant project but if someone is serious he should go to India

    in India liver transplant cost is 38,00,000 (thirty eight lac) Pakistani rupees and there successful rate is very good

    if anybody want further information

    contact

    [email protected]

    +92-3226030505

    +92-3224008472

    • abid hassan said:

      MORTALITY AFTER LIVER TRANSPLANTATION AT SHAIKH ZAYED HOSPITAL LAHORE.
      In spite of the government having spent millions of rupees in terms of expensive machinery, infrastructure and hiring two highly paid foreign “trained” Liver Transplant Surgeons to provide this essential service to the people of Pakistan, Liver Transplantation in Shaikh Zayed Hospital still seems to be a far fetched dream for most of us waiting desperately for this life saving operation.

      As I am a regular visitor to the Liver Transplant OPD of this hospital, I have been able to gather some alarming facts regarding the safety of Liver Transplantation at this hospital from junior doctors and paramedical staff. The following needs your urgent attention and investigation.

      To-date only 4 Living Donor Liver Transplant Surgeries have been performed at Shaikh Zayed Hospital, Lahore.

      The first two Living Donor Liver Transplants were entirely performed and managed by Dr. Subhash Gupta and his team of surgeons, anesthetists and nurses who were specially brought in for this purpose from India.

      It was a matter of great concern and a shock to me when I learned that the third patient (50 year old Mr. Muhammad Anwar of Sialkot ) who was unfortunate enough to be operated independently by the two local surgeons (operation carried out on 24th February 2012 and trumpeted in the press on 25th February 2012) soon after the Indian team had left , died of surgical complications only a few days after his Liver Transplant operation while he was still in the hospital. The hospital administration “ensured” a media black-out so that the news of the death of this unfortunate patient would not reach the media and the press. Junior doctors and paramedics were threatened of dire consequences for fear of this news leaking out.

      I was told by a junior doctor that before the Indian surgeons left, they had clearly informed the administration of the hospital that as per their assessment the two local surgeons were not capable enough to do Living Donor Liver Transplantation and should not perform any such surgeries on their own.

      I have come to know from reliable sources in the hospital that the two local liver transplant surgeons are not trained to do Living Donor Liver Transplantation. In fact, the operation they performed on this unfortunate patient was the first Living Donor Liver Transplant operation that either of the two had ever performed!

      Living Donor Liver Transplants are much bigger, complex and technically demanding operations as compared to Cadaveric Liver Transplantation which is done in Ireland and England where these two surgeons claim to have received their training. Had Mr. Anwar been operated by surgeons with experience in Living Donor Liver Transplantation, he would still be alive and the approximately 5 million rupees spent on this single operation would have been worth it. The whereabouts and present state of health of liver donor, Kamrin, the 19 year old neice of Mr. Muhammad Anwar who underwent a major operation at the risk of her own life to donate half her liver for her uncle, are also unknown.

      Despite this, the same team of surgeons carried out another Living Donor Liver Transplant operation on Mr.Abdul Rasheed of Samanabad, Lahore on June 20, 2012 (again trumpeted in the press as a successful transplant). What was not reported in the press was that this operation also failed badly. Mr. Abdul Rasheed had to be re-operated the very next day, kept alive in a critical condition on a ventilator in the ICU and died of serious surgical complications only a few days later. Mr. Rasheed’s young niece, who had donated half her liver in this case suffered serious injury to her liver during this operation; her whereabouts to this day are unknown. In this second case also, a complete media blackout was carried out by the hospital administration and this successive mortality was never reported in the press. Approximate cost of this failed operation was again assessed to be close to 5 million.

      The patients who died and their relatives would never have given consent for this operation had they been made aware of the above facts before the operation. If these facts were now made available to the relatives of the deceased patients it would be a matter for severe civil liabilities and recommendation of criminal negligence by the Pakistan Medical and Dental Council and the Punjab Health Commission.

      My request is that the credentials of these surgeons be examined, certificates of training from their trainers in the UK or elsewhere be obtained which should state categorically that these two surgeons are competent and have been trained to perform Living Donor Liver Transplantation independently before they are allowed to operate any further. If they are allowed to carry out any more “experimental” operations on the Pakistani public now, further deaths will be the responsibility of the hospital administration, the Punjab Government and also the press. Any further deaths at the hands of these two surgeons will leave the hospital administration open to prosecution and civil liabilities.

  9. Javed Akram said:

    CRIMINAL NEGLIGENCE
    ISLAMABAD, Nov 18: Islamabad High Court (IHC) on Friday issued notices to the administration of Sheikh Zayed Hospital (SZH) Lahore and Human Organ Transplant Authority (Hota) on a petition against the violation of Hota Act.

    The petitioner referred a recent case of liver transplantation that was done at SZH. The petitioner, however, did not name the recipient of the liver as respondent in the petition. IHC Justice Riaz Ahmed Khan took up the matter and sought reply from both the respondents besides the cabinet division within a fortnight.

    According to Advocate Syed Liaquat Binori, the petition was a `public interest litigation` in which his petitioner had challenged transplantation of liver to an influential person; the liver was taken from the body of a 15-year-old boy who expired in a traffic accident.

    The transplantation at SZH, according to the petitioner, was done in violation of Hota Act 2010. He said under the act a hospital can transplant a human organ after getting clearance from an `evaluation committee` but in this case the clearance was not sought from the said committee.

    The petitioner also contended that no human organ could be used for transplantation in case the donor was less than 18 years of age. The petitioner told the court that in September this year an injured child Arsalan was brought to the SZH. The child had sustained severe injuries in a traffic accident. Unfortunately the child could not survive and died. The hospital administration after seeking consent of his parents took out his liver and transplanted it to Amir Raza, a 42-year old person.

    The petitioner said as per Hota Act, a donor of human organ must be more than 18 years of age. For organ transplant there is another condition that the donor must have had consented a will in his life where he/she may have expressed his willingness to donate the organs.

    The will should also be registered with the Hota, the petitioner said. In this particular case the donor was less than 18 years and he did not qualify to consent the will. The petitioner has expressed his apprehension that the way this transplantation was done, poor people could be easily exploited against the money. He requested the court to order an inquiry into this matter.

  10. abid hassan said:

    In spite of the government having spent millions of rupees in terms of expensive machinery, infrastructure and hiring two highly paid foreign “trained” Liver Transplant Surgeons to provide this essential service to the people of Pakistan, Liver Transplantation in Shaikh Zayed Hospital still seems to be a far fetched dream for most of us waiting desperately for this life saving operation.

    As I am a regular visitor to the Liver Transplant OPD of this hospital, I have been able to gather some alarming facts regarding the safety of Liver Transplantation at this hospital from junior doctors and paramedical staff. The following needs your urgent attention and investigation.

    To-date only 4 Living Donor Liver Transplant Surgeries have been performed at Shaikh Zayed Hospital, Lahore.

    The first two Living Donor Liver Transplants were entirely performed and managed by Dr. Subhash Gupta and his team of surgeons, anesthetists and nurses who were specially brought in for this purpose from India.

    It was a matter of great concern and a shock to me when I learned that the third patient (50 year old Mr. Muhammad Anwar of Sialkot ) who was unfortunate enough to be operated independently by the two local surgeons (operation carried out on 24th February 2012 and trumpeted in the press on 25th February 2012) soon after the Indian team had left , died of surgical complications only a few days after his Liver Transplant operation while he was still in the hospital. The hospital administration “ensured” a media black-out so that the news of the death of this unfortunate patient would not reach the media and the press. Junior doctors and paramedics were threatened of dire consequences for fear of this news leaking out.

    I was told by a junior doctor that before the Indian surgeons left, they had clearly informed the administration of the hospital that as per their assessment the two local surgeons were not capable enough to do Living Donor Liver Transplantation and should not perform any such surgeries on their own.

    I have come to know from reliable sources in the hospital that the two local liver transplant surgeons are not trained to do Living Donor Liver Transplantation. In fact, the operation they performed on this unfortunate patient was the first Living Donor Liver Transplant operation that either of the two had ever performed!

    Living Donor Liver Transplants are much bigger, complex and technically demanding operations as compared to Cadaveric Liver Transplantation which is done in Ireland and England where these two surgeons claim to have received their training. Had Mr. Anwar been operated by surgeons with experience in Living Donor Liver Transplantation, he would still be alive and the approximately 5 million rupees spent on this single operation would have been worth it. The whereabouts and present state of health of liver donor, Kamrin, the 19 year old neice of Mr. Muhammad Anwar who underwent a major operation at the risk of her own life to donate half her liver for her uncle, are also unknown.

    Despite this, the same team of surgeons carried out another Living Donor Liver Transplant operation on Mr.Abdul Rasheed of Samanabad, Lahore on June 20, 2012 (again trumpeted in the press as a successful transplant). What was not reported in the press was that this operation also failed badly. Mr. Abdul Rasheed had to be re-operated the very next day, kept alive in a critical condition on a ventilator in the ICU and died of serious surgical complications only a few days later. Mr. Rasheed’s young niece, who had donated half her liver in this case suffered serious injury to her liver during this operation; her whereabouts to this day are unknown. In this second case also, a complete media blackout was carried out by the hospital administration and this successive mortality was never reported in the press. Approximate cost of this failed operation was again assessed to be close to 5 million.

    The patients who died and their relatives would never have given consent for this operation had they been made aware of the above facts before the operation. If these facts were now made available to the relatives of the deceased patients it would be a matter for severe civil liabilities and recommendation of criminal negligence by the Pakistan Medical and Dental Council and the Punjab Health Commission.

    My request is that the credentials of these surgeons be examined, certificates of training from their trainers in the UK or elsewhere be obtained which should state categorically that these two surgeons are competent and have been trained to perform Living Donor Liver Transplantation independently before they are allowed to operate any further. If they are allowed to carry out any more “experimental” operations on the Pakistani public now, further deaths will be the responsibility of the hospital administration, the Punjab Government and also the press. Any further deaths at the hands of these two surgeons will leave the hospital administration open to prosecution and civil liabilities.

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