Medical Park International Updated: 2017-02-19 20:47:20
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Organ Transplantation

Organs for transplantation come from live donors (relatives up to 4th degree) or cadavers. For example cornea and kidneys form the patient who died from heart disease can be transplanted to a blind patient or patient with renal deficiency. In patients with advanced heart, liver or renal insufficiencies healthy life is only possible with organ transplantations.

Transplanted Organs and Tissues?

Most commonly transplanted organs include the kidneys, liver, heart, lungs, pancreas, bone marrow, cornea, bone and intestine.


Where the transplanted organs come from?
Organs for transplantation come from live donors (relatives up to 4th degree) or cadavers. For example cornea and kidneys form the patient who died from heart disease can be transplanted to a blind patient or patient with renal deficiency. In patients with advanced heart, liver or renal insufficiencies healthy life is only possible with organ transplantations.


In most countries there is a shortage of suitable organs for transplantation because the transplantation needs are not met by organ donations. Currently in our country there are more than 40000 patients living with dialysis (unfortunately most of them are young and middle age between 20-40 years old). They can survive with dialysis machine for 3 times a week and daily 3-4 hours. This has detrimental effect on their social life. After renal transplantation they become free and their survival rate increase. Patients with advanced heart and liver disease are in more dismal condition since there are no auxiliary treatment options such as dialysis so their survival rate is low.


Is Organ transplantation a good treatment?
By means of organ transplantation lifespan becomes longer and life quality increases with having lower cost comparing the treatment used for end stage organ deficiencies such as dialysis. Therefore organ donation is an important contribution to our country not only in health outcomes but also in economic consequences. Additionally patients dependency decreases and loss of workforce becomes benefit.


We have patients who had kidney transplantations before 20 years. Now they have family and business. It is possible to give examples for the other organ transplantations. Organ transplantation is a good treatment option for the patients having advanced heart, liver and kidney diseases.


When did firstly successful organ transplantation in Turkey?
In 1975 –Kidney transplantation from live donor
In 1978 - Kidney transplantation from cadaver
In 1988 - Liver transplantation from cadaver
In 1989 – First successful heart transplantation
In 1990 – Partial liver transplantation from relative
In1991 – Heart valve transplantation
In 1998 – Liver transplantation from cadaver for 2 patients
In 1979 National Organ Transplant Act numbered 2238 about "TAKING, STORING AND TRANSPLANTATION OF ORGANS AND TISSUES" has been effectuated and it was amended in 1982.


What is brain death? Is it different from vegetative state?
Brain death is a legal definition of death that refers to the irreversible loss of brain activities. It is not possible to take organs before brain dead. It should not be confused with a coma or vegetative state. In brain death brain activities has been lost totally and irreversible. Cardiopulmonary functions can be continued by artificial ventilation and cardiac support but it is not possible for brain functions. Some of the patients in coma or vegetative state may return to life but this is not the case for the patients with brain death. Therefore brain death is a medical and legal definition of death. Patients with brain death and having permission for organ donation are called cadaver donor. Organs from cadaver donor should be taken as soon as possible for transplantation to the patients on transplantation list.
Definition of the death operated by a team including neurologist, neurosurgeon, cardiologist and anesthesia/reanimation specialist, after required tests. This is an independent team in which there is no one from transplantation team.

Can donated organs be sold or given in exchange for interest?
It is forbidden by Law numbered 2238 that organs shall not be donated against remuneration. Organs from cadaver shall be transplanted to recipient with having highest compatibility through National Coordination System. Cases about organ commerce in news media mention the people who sell their one kidney against money.


Is organ transplantation suitable for religion?
Directorate of Religious Affairs describes the organ transplantation as one of the best aid between the people. It has been declared that it was religiously permissible with Directive dated 6.3.1980 and numbered 396. In all Muslim countries and for the other religions this is valid. In Koran (Maide Sura, Verse 32) it has been declared that "GIVING LIFE TO SOMEBODY MEANS GIVING LIFE ALL PEOPLE".


Even if you have some health problems can you donate your organs?
Even if elderly patients or patients having chronic health problems can donate several organs to compatible recipients. For example a patient 70 years old may have functional kidneys.
Body integrity of cadaver
Organs are taken from cadaver by a specialized team. Organ extracted from the cadaver is stored until the transplantation. Body integrity of cadaver is preserved. Only operation scar may be seen on the body.


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