Apollo Hospitals Completes combined Bowel and abdominal wall transplant surgery

Chennai, March 12, 2020: Apollo Hospitals, Chennai has achieved two new milestones. Organ transplant team completes Asia’s first combined Bowel and (sentinel) abdominal wall transplant surgery on a young boy who was suffering from Ultra Short Bowel Syndrome and a complicated Kidney transplantation using Hypothermic Oxygenated Machine Perfusion (HOPE). Apollo Hospitals brings the organ preservation device VitaSmart HOPE to India that keeps the Kidney outside the body for a longer period of time with continuous oxygen supply which is better for transplantation.

Seventeen year-old Chinni Krishna was admitted to Apollo Hospitals with muscle wasting and malnourishment, he had lost 20 KGs in two months (from 50 KGs he became 30 KGs). He was previously admitted to a local hospital in Kuppam, his home town in Andhra Pradesh where he was diagnosed with acute mesenteric ischemia a syndrome of sudden loss of blood supply to the small intestine which causes permanent damage to the small intestine. Usually this is treated with angioplasty or open surgery. Chinni Krishna underwent several corrective surgeries at hospitals in his home town which eventually led to the complete removal of the small bowel with Jejunocolic Anastamosis (a surgery where parts of the jejunum and ileum are removed, and the remaining parts are connected to the colon).

Apollo Hospitals initiated nutritional rehabilitation program for the patient to attend to his caloric requirement to stabilize him and to get him ready for a bowel transplant. Over a period of 9 months Chinni Krishna gained 15 Kgs and returned home. He underwent a transplant procedure in February 2020 on availability of Bowel and Abdominal wall from an18 year-old deceased donor.

Team of doctors headed by Prof. Dr. Anil Vaidya-Transplant Surgeon, Apollo Hospitals Chennai, performed Asia’s first Small Bowel transplantation combined with Abdominal Wall Transplant on Chinni Krishna. The patient needed an abdominal wall transplant because of the poor quality of the native abdominal wall muscle and skin due to multiple operations. Furthermore, there is a loss of abdominal space due to contracture of the muscle of the abdominal wall around a smaller volume of bowel.

Speaking about this procedure, Prof. Dr. Anil Vaidya-Transplant Surgeon, Apollo Hospitals said, “An intestinal transplant is a life-saving procedure as it helps patients who have suffered over years without eating solid food and resorting to intravenous feeding. This procedure comes as a blessing for them as it helps them to eat and even taste food again.”

Speaking about two medical marvels performed by the transplant team, Ms. Suneeta Reddy, Managing Director, Apollo Hospitals Group, said, “Apollo Transplant institute is well known for several multi-organ transplant procedures with over 90% success rates.  Our organ transplant center is a beacon of quality and hope for patients from across the world. As our commitment towards delivering the best of healthcare service, we have constantly invested in all contemporary medical equipment and technologies yet keeping the services in affordable cost. Now we also brought the best-of-best equipment to support organ preservation to India, the VitaSmart a Hypothermic Oxygenated Machine Perfusion, which is a more advanced machine for kidney, and liver perfusion. This will definitely benefit those patients in getting a better quality of life.”

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