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First two bilateral hand transplantations in India (Part 1): From vision to reality
Subramania Iyer1, Mohit Sharma1, P Kishore1
1Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Successful bilateral hand transplants were performed in India, marking a significant advancement in vascularized composite tissue allotransplantation. This pioneering program required extensive planning and collaboration for its remarkable success.
Area of Science:
- Medical Science
- Surgical Innovation
- Transplantation Biology
Background:
- Vascularized composite tissue allotransplantation (VCA) is an emerging medical field.
- The Indian subcontinent lacked VCA services until 2015.
- A successful bilateral hand transplant was performed in India in January 2015.
Purpose of the Study:
- To introduce and establish vascularized composite tissue allotransplantation in the Indian subcontinent.
- To document the process and outcomes of the first bilateral hand transplant program in India.
Main Methods:
- Securing legal and ethical approvals.
- Implementing public awareness campaigns.
- Establishing institutional infrastructure and surgical protocols.
- Assembling a multidisciplinary surgical and support team.
- Managing immunosuppression and patient rehabilitation.
Main Results:
- The first and second bilateral hand transplants were highly successful.
- Recipients regained the ability to perform daily activities.
Conclusions:
- Establishing a hand transplant program is a complex undertaking.
- Intensive planning and inter-institutional cooperation are crucial.
- Exceptional teamwork was fundamental to the success of these groundbreaking procedures.
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