Transplantation in Sri Lanka What is transplantation History of Organ transplantation in Sri Lanka Transplants at Teaching Hospital Anuradhapura, Simultaneous Pancreas Kidney Transplantation SPK, How to improve Transplantation in Sri Lanka JOEL ARUDCHELVAM

1. Dr Joel Arudchelvam
MBBS, MD ( SUR ), MRCS (ENG)
Consultant Vascular andTransplant Surgeon
Teaching Hospital Anuradhapura

2. What is transplantation
Removal of organs from one individual and placing it in another
individual

3. Transplantation
The Miracle of Cosmas & Damian

5. Teaching Hospital Anuradhapura

6. Transplants at Teaching Hospital Anuradhapura
 Renal transplants - 90
 Live donor
 Cadaveric
Enbloc renal transplantation
 Simultaneous Pancreas Kidney Transplantation (SPK) - 01
 Lower Limb Transplantation - 01

7. Kidney transplantation

8. Kidney transplantation

9. Kidney transplantation

10. Simultaneous Pancreas Kidney Transplantation SPK
• July 2016
• Teaching Hospital Anuradhapura
• Performed Sri Lanka’s First SPK
• First Dual organ transplant

11. Simultaneous Pancreas Kidney Transplantation SPK
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-

12.  24 July 2017
 Teaching Hospital Anuradhapura
 First limb transplantation in Sri Lanka
 First lower limb transplantation In Sri Lanka

13.  5th
in the world
 1. 2006 – Canada - between conjoined twins
 2. 2011 – Spain
 3/ 4 – 2012 – Turkey

14. Lower Limb Transplantation
• Recipient - 32 year old male
• Donor - 52 year old male

15. • Bones
• Blood Vessels
• Muscles
• Nerve
•Were joined
Recipient Donor

17. • At present – more than 7
months and well
• Only surviving patient with
an allotransplanted leg in
the world

18. Enbloc Transplantation
Enbloc
Enbloc
• June 2017, Teaching Hospital Anuradhapura
• First enbloc renal transplantation in Sri Lanka

19. Enbloc Transplantation
Enbloc
Enbloc
• Donor - 3 and ½ year old
child
• At present well and having
normal creatinine

20. How to improve Transplantation in Sri
Lanka
 Increase the number of Brain Dead Donors
 Central Coordination
 Transport

21. Increase the number of Brain Dead Donors
 Central coordinator at health
ministry level
 In contact will all ICUs

22. Increase the number of Brain Dead Donors
Awareness programs
Organ Donor Day 2018

23. Increase the number of Brain Dead Donors
 Driving licenses with organ
donation consent

24. Transportation
 By Air

25. We are in the right path to improve the
transplantation field in this country

26. Thank You !