BENGALURU: An 8-year-old girl child from Tamil Nadu, underwent a unique combined liver and kidney transplant operation in the city at Apollo Hospitals, Seshadripuram. This is the first case in India where aquadex was used from Waynia to prepare the critical patient for the operation theatre for a simultaneous liver–kidney transplant.
Lakshmi (name changed) was diagnosed with congenital hepatic fibrosis and autosomal recessive polycystic kidney disease. It is a genetic disease that manifested in her, at the age of six. She was suffering from severe liver disease complications and kidney failure, leaving her in dire need of a life-saving transplant.
Though her mother and father had decided to donate their organs, both of them had cross-match positivity (which means the organs after the transplant may be rejected if transplanted from either of the parents). However, Lakshmi received the organs of a 14-year-old.
“We faced a significant challenge during the procedure. Due to the risk of infection from the cystic kidneys, removing her kidneys and inserting new kidney posed a unique challenge. Additionally, accommodating a 14-year-old’s kidney presented spatial constraints, leading us to opt for the left side,” said Dr Manohar T, Chief of Urology Services, Uro-oncology and Kidney Transplantation, Laser, Laparoscopic, and Robotic Surgeon. Drawing on his extensive expertise, Dr Manohar decided to proceed with kidney transplantation without native kidney nephrectomy.
Dr Arun Kumar N, Senior Consultant Nephrologist and Transplant Physician, said, “We take great pride in our ability to perform such intricate procedures with exceptional outcomes consistently