Author: drsamiranurologyclinic

Source: Myths and Misconceptions | Organ and Tissue Authority

39 years old lady who underwent URS at some hospital in CUTTACK in July 2016 and was repeated in sept 2016 and in Dec 2016. Following which she developed high grade fever and presented to us now in Feb 2017. When she was evaluated here in Apollo. She was found to have nonfunctional kidney with multiple renal abscess. With pyonephrosis and stricture in ureter with residual calculus 

In July 2016 functioning right kidney. Preoperative 

Now in Feb 2017. Nonfunctional right kidney with multiple renal abscesses and pyonephrosis. 

22 years old girl having signs of Cushings and Hirsutism treated earlier for PCOD found to have large functional left adrenal mass > 12cm in size with Tumor thrombus going to renal vein and then going into IVC. Did a adrenalectomy surgery saving the kidney and Tumor thrombus was removed using liver mobilisation technique and last the cavotomy and renal vein was repaired. 

http://ijme.in/index.php/ijme/article/view/2391

Unrelated renal transplantation: an ethical enigma

Gaurav Aggarwal, Samiran Adhikary

Abstract

End-stage renal disease (ESRD) is a condition better discussed than suffered. People suffering from ESRD are at a disadvantage not only financially, but also emotionally and in terms of the quality of their lives.

 

The majority of their productive time is spent in hospital, on dialysis machines, or in the search for a suitable kidney donor, so that they may be able to improve upon the quality of their remaining lifespan. Only a “lucky few” are able to find a suitable matching donor, be it living (related) or a cadaver, whilst the others are left to fend for themselves.

 

As the supply fails to cope with the demand, people go to the extent of exploring the pool of “unrelated donors”. Though not legalised yet, this is one domain yet to be explored in its entirety, both on humanitarian as well as ethical grounds.

 

Our current work hopes to highlight this scenario and also provides a few options that may well become “ethically acceptable” in the not-so-far future.
http://www.issuesinmedicalethics.org/index.php/ijme/article/view/2391/4963#.VzH8aj1lccE.linkedin

Ethical enigma in renal transplants the current scenario. We have tried to look at all existing issues in this short essay published online

The commentary done by D Martin in the same issue Home > Online First > Martin

 http://ijme.in/index.php/ijme/article/view/2392
Trade in kidneys is ethically intolerable

Dominique E Martin

Abstract

In India, as in most countries where trade in human organs is legally prohibited, policies governing transplantation from living donors are designed to identify and exclude prospective donors who have a commercial interest in donation. The effective implementation of such policies requires resources, training and motivation on the part of health professionals responsible for organ procurement and transplantation. If professionals are unconvinced by or unfamiliar with the ethical justification of the relevant laws and policies, they may fail to perform a robust evaluation of prospective donors and transplant candidates, and to act on suspicions or evidence of illicit activities. I comment here on a recent paper by Aggarwal and Adhikary (2016), in which the authors imply that tolerance of illicit commercialism in living kidney donation programmes is not unreasonable, given the insufficiency of kidneys available for transplantation. I argue that such tolerance is unethical not only because of the harmful consequences of kidney trafficking, but because professional tolerance of commercialism undermines public trust in organ procurement programmes and impairs the development of sustainable donation and transplant systems.

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And his email to us 

Thank you so much for your email. I was very pleased to have the opportunity to provide a commentary on your article. You and Dr Adhikary are to be congratulated on a thoughtful paper that brings to the fore a number of ideas that are shared by many professionals working in transplantation across the world. In doing so, I think it helps to encourage open discussion of and reflection on some important issues, in particular that of financial incentives for donation.
I am glad to know you are opposed to trade in kidneys – your leadership on this is so important not just in India but in the region. I hope to have the opportunity to visit India in the next couple of years and would be delighted to meet you and Dr Adhikary. I will certainly stay in touch and hope you will in turn share with me any of your own further work in this field.
Warm regards,

Dominique

— 

Dr Dominique Martin MBBS, BA(Hons), PhD

Senior Lecturer in Health Ethics and Professionalism

School of Medicine, Faculty of Health

Deakin University

Geelong Waurn Ponds Campus, Locked Bag 20000, Geelong, VIC 3220

+61 3 5247 9482

Dominique.martin@deakin.edu.au 

www.deakin.edu.au/medicine

Deakin University CRICOS Provider Code 00113B

He had bland thrombus below the tumor thrombus which was going to both illiacs. Which was a surgical challange. I used plication technique in infra renal IVC 

Did one VEIL for ca penis after total penectomy.   1st time in Odisha and Eastern part of country in Apollo Hospitals, Bhubaneswar. 

https://www.facebook.com/video.php?v=10153139865627931