1st time in India we used kidney from 5 years old male as deceased donor. ( Brain Dead Donor ) and used as single kidney unit in two adults respectively

Salute to the brave parents of Master Sudhanshu Lenka who came forward to donate the organ to save two more lives. Master Sudhanshu one 5 years old boy was admitted to KIMS Hospital Bhubaneswar under the care of Pediatric Department for some convulsion related issue and after all attempts it was diagnosed and confirmed that he has become brain dead and nothing could be done to reverse it.

He was declared brain dead on 13/07/2022 evening by the team of doctors from KIMS

Our state organ transplant organization SOTTO was informed and then they alerted all stake holders concerned for the Cadaveric transplant program and co ordinated to the whole process .

Organs were harvested in KIMS and After the harvesting it was taken to SCB medical college. unfortunately no patients were found suitable for renal transplantation. So it was decided by SCB and SOTTO to send it to Apollo Hospital.

Though there was some delay we took the challenge to proceed with the transplantation and successfully did two patients one after another.

As the kidney sizes were good more then 9 Cm we decided to use for two patients as single kidney unit. Both the patients are recovering well. Both the patients were done in Apollo Hospital bhubaneswar Odisha. We did some literature review and found that single kidney transplantation vs paired kidney transplantation and they were found to be successful even in adult patients with good results at 2 years and 5 years and results were comparable So we decided to do 1st case as single unit on right then waited for some time and found to have good urine output. The size of kidney after implantation was good and was having good turgidity. As it looked satisfactory we went ahead with second patient

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801801/

https://pubmed.ncbi.nlm.nih.gov/9358086/

I thank my team .

Our team consisted of Dr Samiran Adhikary supported by Dr Prateek Sahoo, Dr Ramkumar ,Dr Sunil and Dr Saroj and Anesthetist Dr Saumitra , Dr Debabrata Dash and Dr Samarjit Bisoyi. Dr N K Mohanty Nephrologist.

I also thank Dr Alok Srvastava and Team Apollo In Apollo Hospital Bhubaneswar

I will like to have special mention about Mr Subrat SOTTO co ordinator and Mr Ayush our Transplant Co-Ordinator for their dedication and tireless endeavors

It is the 1st Pediatric deceased donor of the state of Odisha. To my knowledge I am not aware any such donor in India except one in Ahmedabad in 2009.

We are the 1st to attempt to put into adult as single kidney unit and saved two lives successfully

It is first of it kind in India as we have used as single kidney unit.

We have discharged one patient after one week of transplant with creatinine of 1.6 mg % and second one on 11th day creatinine which has reached less then 2 mg %.