Life after Death. 1st Cadaveric Renal transplant done in Odisha by Dr Samiran Adhikary

1st Deceased Donor renal transplant in the state of ODISHA happened in early morning Of 4th February of 2020 in Apollo Hospitals Bhubaneswar

Historical moment for Department of Urology of Apollo Hospital Bhubaneswar and TEAM Apollo

The surgical TEAM consisted of

Dr Samiran Adhikary Chief Surgeon and Team Leader

Dr Sambit Tripathy Final year DNB trainee 1st assistant

Dr Pratik Sahoo second year DNB trainee as 2nd assistant

Supported by

Mr Ashok Nayak. Perfusionist

Mr Soumya Technician urology

Mrs Geeta

Mrs Sasmita

Mrs Mahasweta

Anesthesia Team

Dr Debabrata Dash

Dr Sidharth Mohanty

Critical care Team

Dr Sharmili Sinha who took care of patient in ICU and declared 1st brain death declaration by 5 pm and second brain dead declaration was by Dr Saroj Pattanaik

Neurosurgery

Dr Amit Chanduka under whom patient was admitted

Nephrology

Dr Bibekananda Panda

Transplant co-Ordinator

MR Subrat Sahoo

28 years old lady who met with an accident was declared Brain Dead on the evening of 3rd of February

Life was very unfair for the lady but the bereaved family members took a very selfless decision which is very bold and noble to donate organ and see that these organs surviving through these patients.

retrieval of organ from the cadaveric donor is the most challenging work was done by the apollo team lead by Dr Samiran Adhikary

After the retrieval of organ next important step is perfusion of organ in special fluids. After that the organs are packed in special sterile pack with ice cold solution.

After doing all these above steps one of the kidneys was handed over to SCB doctors at 4.25 AM on 4th February

SCB team only received the organ from us and proceeded to SCBMCH and next step in their hospital for the transplantation.

1st kidney was transplanted in Apollo Hospital in one 45 years old gentleman and second one done in SCB Hospital .

The Patient in Apollo Hospital is doing fine recovering well

1st post operative day.

Creatinine 4.6mg%

Urine Output 6.5litres

2nd post operative day

Creatinine 3.53mg%

Urine output 3.8litres

3rd post operative day

Urine output 3.6litres

Creatinine 1.9mg%

Urine output 2.7litres

4th post operative day

Creatinine 1.4mg%

Urine output 3.7litres

5th post operative day 9th of February

Creatinine 1.2mg%

He is fit to be discharged. He is doing alright. His parameters are normalised. His renal function has improved. His creatinine is 1.2mg% .

Coming forward to donate the organs is very commendable which will motivate all of us to do the same and considering to donate organ and save life of few needy people who are fighting with Death.

So come forward and pledge for organ donation and motivate others to do so. Every opportunity should be used to save someone life.

We should not burry or burn our precious organs. Which are valued at 17 Trillion Dollars

Brain death is diagnosed with complete certainty after the introduction of these criteria, there has been not single case report in published literature of any reversal.

After the brain death the body ceases to function properly and body and organs are perfused only life support system by intensivist or critical care specialists. Eventually heart will stop. So this window period is used to retrieve organs. So you start living again in someone else’s body.

We should have brain dead declarations as a routine practice in all of our ICU. All functioning organ should be retrieved and used to save someone else’s life

Thus we become Immortal

Would like to thank to following people

MR Sudhanshu Sarangi commissioner of police for allowing us to do Post mortem in our premises.

Dr L K Behera for conducting post mortem

DMS Dr Ashish Chandra for extending his full support

CEO MR Sudhir Diggikar for all the support and infrastructure

Ast MS Dr Jyoti Parija who was pillar for our whole operation on that day night. He could co- ordinate with all the stake holders at right time and efficiency

Dr C R KAR nodal officer of SOTTO for giving us the permission

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Our team felicitated by “Samaj”

Left to right Dr Sambit tripathy. Saoumya Dr Prateek sahoo. Myself. Dr Samiran Adhikary. Transplant co – ordinator. subrat sahoo. Ashok Nayak transplant perfusionist. Dr Jyoti Parija Ast Medical superintendent. Dr Bibekananda Panda nephrologist