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Lung Transplant Surgeon in Gurgaon and Delhi

Lung Transplant In Delhi and Gurgaon, India<br><br> <br>A lung transplant is a surgical procedure to replace a diseased or failing lung with a healthy lung, usually from a deceased donor. A lung transplant is reserved for people who have tried medications or other treatments, but their conditions haven't sufficiently improved.<br>Depending on the medical condition, a lung transplant may involve replacing one of your lungs or both of them. In some situations, the lungs may be transplanted along with a donor heart.<br>While a lung transplant is a major operation that can involve many complications...

drharshvardhanpuri
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Lung Transplant Surgeon in Gurgaon and Delhi

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  1. LungTransplantSurgeoninGurgaon andDelhi LungTransplantInDelhiandGurgaon,India

  2. AlungtransplantisasurgicalproceduretoreplaceadiseasedorfailinglungAlungtransplantisasurgicalproceduretoreplaceadiseasedorfailinglung withahealthylung,usuallyfromadeceaseddonor.Alungtransplantis reservedforpeoplewhohavetriedmedicationsorothertreatments,but theirconditionshaven'tsufficientlyimproved. Dependingonthemedicalcondition,alungtransplantmayinvolvereplacing oneofyourlungsorbothofthem.Insomesituations,thelungsmaybe transplantedalongwithadonorheart. Whilealungtransplantisamajoroperationthatcaninvolvemany complications,itcangreatlyimproveyourhealthandqualityoflife. History Attemptsatlungtransplantationhaveoccurredasearlyas1946when VladimirDemikhov,aSovietscientist,attemptedsingle-lungtransplantation inadog.Thistransplantultimatelyfailedfrombronchialanastomotic dehiscence,anddifficultieswiththisanastomosiswouldplagueclinicallung transplantationforthenext40years.HenriMetras,in1950,reportedthe firstsuccessfuldoglungtransplantandthefirstbronchialarteryandleft atrialanastomoses.Inanonhumanprimatemodel,performedlung reimplantationandshowedthattheselungswereabletomaintainfunction postoperatively,despitedenervation.OnJune11,1963,reportedthefirst humanlungtransplant;however,thepatientdiedfromkidneyfailureafter 18d.Thefirstrealsurvivorduringthisearlyeraoflungtransplantationwas apatientofFritzDerom’sinBelgium.Thispatient,however,survivedonly10 mo.Thefailureofthisearlyexperienceinclinicallungtransplantationcanbe summarizedbyinadequateimmunosuppressionanddifficultieswiththe bronchialanastomosis. Theadventofcyclosporinebroughtaboutsignificantimprovementsin patientsurvivalfollowingliverandkidneytransplantation.Thisledtoa resurgenceofinterestinheart/lungtransplantationinStanfordandlung transplantationinToronto.Thefirstsuccessfulcombinedheart–lung transplantwascompletedbyReitzandcolleaguesandshowedthatagrafted lungcouldsurviveandfunctioninarecipient.Researchperformedby Cooper’sgroupinTorontoshowedthatcorticosteroiduseappearedtobea significantfactorintheweaknessofthebronchialanastomosis.Withtheuse ofcyclosporine,corticosteroidusecouldbereduced,leadingtoimproved bronchialhealing.In1986,theTorontoLungTransplantProgramreported

  3. thefirstsuccessfulsingle-lungtransplantationsfortwopatientswiththefirstsuccessfulsingle-lungtransplantationsfortwopatientswith pulmonaryfibrosis.Thisteamwentontoperformthefirstsuccessfuldouble- lungtransplant,firstwithanenbloctechniquethatusedatracheal anastomosis,thenevolvingtothebilateralsequentialtransplantation techniquethatnotonlyimprovedairwayhealing,butalsohadtheadditional benefitofavoidingcardiopulmonarybypass,ifdesired.Thistechnique remainsthestandardtechniqueinusetothisday. Indication Lungtransplantationisindicatedforpatientswithchronic,end-stagelung diseasewhoarefailingmaximalmedicaltherapy,orforwhomnoeffective medicaltherapyexists.Generalindicationsinclude: Untreatableend-stagepulmonarydiseaseofanyetiology Substantiallimitationofdailyactivities Limitedlifeexpectancy Ambulatorypatientwithrehabilitationpotential Acceptablenutritionalstatus Satisfactorypsychosocialprofileandemotionalsupportsystem Someofthediseasesthatmayrequirealungtransplantamongthis populationinclude: Chronicobstructivepulmonarydisease(COPD) Cysticfibrosisandbronchiectasisforothercauses Idiopathicpulmonaryfibrosisandnon-specificinterstitialpneumonia Pulmonaryhypertension Sarcoidosis Lymphangioleiomyomatosis Bronchoalveolarcarcinoma Re-transplantbronchiolitisobliterans Bronchopulmonarydysplasiaorchroniclungdisease Heartdiseaseorheartdefectsaffectingthelungs Typesoftransplant Thereare3maintypesoflungtransplant:

  4. Asinglelungtransplant–whereasingledamagedlungisremovedfrom therecipientandreplacedwithalungfromthedonor;thisisoftenusedto treatpulmonaryfibrosis,butit'snotsuitableforpeoplewithcysticfibrosis becauseinfectionwillspreadfromtheremaininglungtothedonatedlung. Adoublelungtransplant–wherebothlungsareremovedandreplaced with2donatedlungs;thisisusuallythemaintreatmentoptionforpeople withcysticfibrosisorCOPD. Aheart-lungtransplant–wheretheheartandbothlungsareremoved andreplacedwithadonatedheartandlungs;thisisoftenrecommendedfor peoplewithseverepulmonaryhypertension.Thedemandforlung transplantsisfargreaterthantheavailablesupplyofdonatedlungs.This meansatransplantwillonlybecarriedoutifit'sthoughtthere'sarelatively goodchanceofitbeingsuccessful. Whatistheprocedureforlung transplant? Lungtransplantationisacomplexsurgicalprocedureperformedtoreplacea diseasedordamagedlungwithahealthylungfromadonor.Hereisageneral overviewoftheprocedure: 1.EvaluationandListing:Theprocessbeginswithanextensiveevaluationto determineifapatientisasuitablecandidateforlungtransplantation.The evaluationinvolvesmedicaltests,imagingstudies,andconsultationswitha transplantteam,includingpulmonologists,surgeons,psychologists,and socialworkers.Ifthepatientmeetsthecriteria,theyareplacedona waitinglistforasuitabledonororgan. 2.WaitingforaDonor:Whilewaitingforasuitabledonor,thepatient undergoesregularcheck-upsandmedicalmonitoring.Thewaitingtimecan

  5. varysignificantly,rangingfromdaystomonthsorevenlonger,dependingvarysignificantly,rangingfromdaystomonthsorevenlonger,depending ontheavailabilityofdonorlungsthatmatchthepatient'sbloodtype,tissue compatibility,andsize. 3.OrganMatching:Whenapotentialdonororganbecomesavailable,a thoroughassessmentisconductedtodetermineitssuitabilityfor transplantation.Thedonorlungisevaluatedbasedonfactorssuchasblood typecompatibility,tissuecompatibility,sizematching,andoverallorgan function. 4.PreparingforSurgery:Onceasuitabledonorlungisidentified,thepatient isnotified,andpreparationsforsurgerybegin.Thepatientisadmittedto thehospital,andpre-operativetestsandproceduresareperformed.These mayincludebloodtests,imagingstudies,lungfunctiontests,and discussionsaboutthesurgicalprocess. 5.AnesthesiaandIncision:Onthedayofsurgery,thepatientisbroughttothe operatingroom,andgeneralanesthesiaisadministered.Thesurgeon makesanincisioninthechesttoaccessthediseasedlung. 6.LungRemoval:Thesurgeoncarefullyremovesthediseasedlungwhile preservingsurroundingbloodvesselsandairways.Insomecases,both lungsmayneedtoberemoved,dependingonthepatient'scondition. 7.DonorLungImplantation:Thehealthydonorlungispreparedfor transplantationbyconnectingthebloodvesselsandairways.Thesurgeon carefullysuturesthebloodvesselsandairwaysofthenewlungtothe patient'sexistingbloodvesselsandairways.

  6. 8.ChestClosure:Afterthenewlungissecurelyinplace,thesurgeoncloses8.ChestClosure:Afterthenewlungissecurelyinplace,thesurgeoncloses theincisioninthechestusingsuturesorstaples.Chesttubesmaybe insertedtodrainexcessfluidandairfromthesurgicalsite. 9.RecoveryandPost-TransplantCare:Thepatientistransferredtothe intensivecareunit(ICU)oraspecializedtransplantunitforclose monitoring.Recoveryafterlungtransplantationcanbechallenging,andthe patientmayneedtostayinthehospitalforseveralweeks.Theywillreceive immunosuppressivemedicationstopreventorganrejectionandundergo extensiverehabilitation,includingphysicaltherapyandrespiratory exercises. 10.Follow-upCare:Afterdischarge,thepatientcontinuestoreceiveongoing careandregularfollow-upvisitswiththetransplantteam.Long-term managementinvolvestakingimmunosuppressivemedications,monitoring lungfunction,andadoptingahealthylifestyletopromoteoverallwell- being. It'simportanttonotethatthisisageneraloverview,andthespecificdetailsof theprocedurecanvarydependingonthepatient'scondition,thetransplant center,andthesurgicaltechniquesemployedbythemedicalteam. LungTransplantSurgeonsinGurgaon AreyoulookingforthebestlungtransplantsurgeryinIndiaatanaffordablecost? MeetDr.HarshVardhanPuri,aLungTransplantSurgeoninGurgaonandDelhi, India,whoprovidesLungTransplant.

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