No help

Chennai: The first-hand transplant program was initiated in the state at Stanley Medical College and Hospital more than seven years ago and it was considered a major relief for the victims of trauma.

The transplant has been practiced until now and about 200 patients remain on the waiting list due to lack of donors and taboos related to hand transplantation.

According to data available to the State Department of Health and Family as part of the Organ Transplant Program, 6,481 organ donations were made to Tamil Nadu between October 2008 and May 2018, only two of which Although the Transplantation Authority of Tamil Nadu (Transtan) boasts to be at the top of the list of the highest number of organ transplants in the country it does not support enough hand transplantations. The donor card mentions all voluntary donations of organs such as liver, kidneys, cornea, lungs and heart but not hands. "After the doctors of the plastic surgery department of government hospitals insisted to mention the hand donation The authorities offered the choice to mention it under the heading" Other, "said a plastic surgeon at the General Hospital of the city under the guise of anonymity.

Although fear of disfigurement and amputation of the body of the deceased The director of medical and rural health services issues certificates of registration under the Human Organ Transplant Act of 1994 to apply hospitals to hand transplantation, government authorities do not seem to pay attention to awareness programs to allow transplantation.

About 130 hospitals were reported to have liver, heart, lungs, kidneys and

However, only three hospitals are registered to perform transplants at the Tamil Nadu Government College and Medical Hospital, at Global Health City in Perumbakkam and at the SRM Institute of Medical Sciences in Vadapalani with the exception of the Medical Superintendent of Stanley Medical College.

The first transplant in India took place in 2015 at the Amrita Institute of Medical Sciences in Kochi. With 11 accredited centers for carrying out hand transplants nationwide, only three hand transplants were conducted at the Amrita Institute of Medical Sciences in Kochi until a date other than that of Tamil Nadu.

"It has been more than five years since Global Health City registered for hand transplants, but not a single donor has been registered.We have four patients on the list. waiting, three from India and one from abroad. but no surgery could be performed because of lack of donors, "said Dr. Selva Setharaman, plastic surgeon at Global Health City.

Similarly, patients are waiting for a manual transplant at the SRM Institute of Medical Sciences, but no donor has yet registered, the hospital authorities said. Refusal of donation by members of the family remains an important factor for the small number of donors, the Act on the Transplantation of Organs and Human Tissue allows for transplantation of a hand or dancer. a cadaver only in patients who have suffered a brain death, ie irreversible damage to brain making it non-functional.

"Since the hand transplant was performed at the hospital, we have patients who have lined up from various parts of the city and other neighboring states." Waiting is steadily increasing, no donor has been registered at the center of Stanely Medical College and Hospital's Manual Transplant Program after successful operation, "said Dr. V. Ramadevi, Chief of Department and Professor of Plastic Surgery at Stanley Medical College and Hospital

Surprisingly, in a 10-year period, there were only two donors and one successful transplant that was performed in February of this year The first double transplant was attempted in December 2017, which failed. Few people know a manual transplant procedure. "After the first successful hand transplant, we hope that more people will become aware of the procedure and its success. . People did not know it because they had not heard of a hand transplant or had not seen one, "says Dr. Ramadevi. The cost is also considered relatively high, however, in Tamil Nadu, the cost is covered by the Minister's overall health insurance plan, which otherwise costs about 20 lakh in other hospitals.

The Venkatesan family, 37, donated his arms after succumbing to injuries in an accident in Narayanaswamy, 29, against religious and spiritual beliefs.

. However, the perception of arm donation is not the same in society.

Mason by profession in Dindigul, Narayanaswamy lost both his hands due to an electrocution in 2015. Mr. Venkatesan, a resident of Mbadi, was declared a brain dead after a severe brain. Dead wound was the member donor for Narayanaswamy. Venkatesan stumbled down stairs at his home in Mbadi and was pronounced dead because he could not recover even after emergency surgery.

Venkatesan Kin says that they agreed to give organs including hands thinking it would benefit others and

Religious beliefs are a major setback for eligible donor families because they do not do not want the visible organ of the deceased to be amputated. Traditional beliefs being a dominant factor in the country, burying or cremating a body with a missing part is considered unacceptable.

"After the transplantation of other organs, one can only visibly see that the organs have been removed, in case of It is clear that the hands have been amputated and that prosthetic hands have replaced it, which is psychologically difficult to accept for the deceased's family members. "The plastic surgeon consultant from Sri Ramachandra University, Dr. M Jyotsna, said," Plastic surgeons say that loved ones of the deceased can angry if hospital authorities ask for a donation of hand for emotional reasons.Some families see that organ donation has financial benefits for hospitals and therefore do not agree to donate organs. 19659002] The family of donors must not only be convinced, but the recipient must also follow a series of accepts the hands of another person.There have been cases where the recipient wanted he had his hands removed a few months after the operation because he was not ready to accept the hands of someone else, say the doctors.