3-year-old Omani girl successfully undergoes liver, kidney transplant in Chennai

A threeyearold girl from Oman got a new lease of life with a successful dual livedonor liver and kidney transplant performed simultaneously by doctors at a private hospital hereDoctors at Rela Hospital spearheaded by Prof Mohamed Rela performed dual live donor transplant with the help of a segment of liver donated by the girls uncle and left kidney from her motherThe surgery took just over 10 hours According to Rela Hospital the baby girl was diagnosed with renal failure when she was 10 months old and has been on dialysis since thenShe was also diagnosed to have primary hyperoxaluria which is an enzyme defect in the liver leading to oxalate deposit all over the body heart kidneys joints eyes and oxalate stones resulting in kidney damage the hospital saidWith liver and kidney transplants the only options for the childs survival she was referred to Rela Hospital At the time of arrival the child was 3 years 3 months old and weighed only 82 kg grossly underweight due to kidney failure which was hampering her growthDoctors at Rela hospital decided to wait till the childs weight reached 10 kg the minimum weight for the transplantHowever since the childs health was deteriorating the doctors discussed with the childs family and decided on an immediate transplantIt was challenging to find a donor for kidney transplant for the babys size and age and there were too many complications as adult kidney is quite large and that of a child abdomen is small to place her mothers kidney as the child was underweight said Dr Gomathy Narasimhan Senior Consultant HPB Surgery Liver and Renal Transplant SurgeonAccording to Narasimhan the blood vessels of the child are very tiny to manage the blood flow pressure from the adult kidney as the half litre of blood flows in an adult kidney in an hour which is equivalent to the blood flow in a babys whole body in an hourHowever the dual organ transplant was performed successfully on the child on January 28th and post the transplant the child is doing well and her weight has increased to 9 kg Rela Hospital saidDuring the post operative period the child posed several challenges as she was on peritoneal dialysis since 10 months of age and was severely malnourished with weak bonesThe fact that she was significantly underweight for her age needed very focussed teamwork with attention to all aspects including nutrition infection control and immune suppressant managementThis story has been sourced from a third party syndicated feed agencies Midday accepts no responsibility or liability for its dependability trustworthiness reliability and data of the text Midday managementmiddaycom reserves the sole right to alter delete or remove without notice the content in its absolute discretion for any reason whatsoever