IMA Journal – August 2023

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear colleagues

Chennai Kauvery Alwarpet IMA welcomes you to the August edition.

August 13th being the day for awareness for Organ Donation, our Transplant Team have shared their knowledge on various transplants done at Kauvery hospitals.

Kauvery hospitals has the expertise on Heart and Lung Transplant and multi-organ Transplant Team.

We wish all our transplant recipients the best in life and thank our doctors and donors for making that “Second Chance” possible for them.

Long Live IMA.

Yours in IMA service,
Dr S Sivaram Kannan


You live forever when a person decides to donate organs…
Receipts of organ donation get a new leash of life…

This is the message we need to convey to everyone.

Kauvery hospital provides world class facilities for transplant care and have transformed the lives of so many patients.

To commemorate organ donation day on August 13th, this month’s issue is dedicated to Organ donation and life changing stories of patients.

Long live IMA.

Yours in IMA service,
Dr. Bhuvaneshwari Rajendran

Dear friends

Happy to share this month edition of IMA Journal.

August 13 is Organ Donation Day. We dedicate this edition of the journal around Organ Donation.

Kauvery Hospital caters to all types of organ transplantation – kidneys, liver, heart and lungs, corneal, bone marrow transplantations under one roof.

We share different aspects of organ donation across these departments in this edition.

Your feedback and suggestions are appreciated.

My sincere thanks to editorial and branding teams.

With regards
Dr. R. Balasubramaniyam

Thoracic Organ Donation in India: Challenges and Solutions

Legal basis of Deceased Organ donation in India

Organ donation in India is regulated by the Transplantation of Human Organs and Tissues Act (THOA), 1994. To prevent irregularities in organ donation, revisions to THOA were made by Government of India in 2011 and the revised THOA rules were notified in 2014. This law allows both living and deceased donor transplantation from brain-dead donors in India. The first heart transplant followed almost immediately after the law was enacted in 1995 at AIIMS, New Delhi. The first Heart-Lung transplantation (HLTx) was performed in Chennai by Dr K.M. Cherian on May 3, 1999 utilizing cadaveric donations coordinated by MOHAN foundation across six hospitals in Chennai. The first successful isolated lung transplant (single) in India was only accomplished in 2011 and the first bilateral lung transplantation was performed in 2013 in Chennai, more than 42 years after the first renal transplant in India on February 2, 1971 at CMC Vellore.

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Retrospective Analysis of Organ Donor status in Kidney transplantation in our hospital – Single center study


End Stage Renal Disease (ESRD) e is alarmingly increasing worldwide. Successful kidney transplantation is the best solution to this problem and Deceased Organ Donation is the biggest contributor for organ donation. There is a huge demand -supply gap in transplantation. In India it is estimated that more than 200.000 patients reach ESRD annually and we perform less than 10, 000 transplants per year. Most of the organ donors are live donors and the Deceased organ donation is increasing.

The US data indicates roughly 100,000 + patients need kidney transplantation and every day 20 of them die without an organ and every 14 minutes someone is added into the transplant list.

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The Critical Need for Organ Donation


Organ donation is a selfless act that can save lives, provide hope, and leave a lasting legacy. By donating organs, tissues, and even bone marrow, individuals have the power to transform tragedy into hope and contribute to the well-being of others. This write-up aims to shed light on the importance of organ donation, its benefits, and the steps individuals can take to become donors.

Every year, countless lives are lost due to organ failure. Organ transplantation offers a second chance at life for those suffering from various illnesses such as heart disease, kidney failure, liver failure, and more. Organ donation stands as a remarkable solution that can bridge the gap between life and death for many individuals in need.  The demand for organs far exceeds the supply, underscoring the urgency of increasing organ donations.

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Penetrating Corneal Transplantation

Cornea and its Importance:

Cornea is a spherical concavo-convex transparent tissue in the anterior most part of the eye. It is made up of:

  • Epithelial cells
  • Bowman’s membrane
  • Stroma of linearly arranged transparent collagen fibrils
  • Descemet’s membrane
  • Endothelium

The most fascinating aspect of cornea is it does not have any blood supply which is one of the factors contributing to transparency of cornea.

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Role of Anaesthesiologist in Cadaveric Renal Transplant


Donation after brain dead is considered in a patient who has suffered terminal illness and has been declared by clinical or instrumental based criteria. As the number of organ recipients continue to rise, it is important to have an efficient organization and management in organ procurement. In this organization anesthesiologist are involved in optimizing the donor and organ function, determining the suitability for transplantation, and preservation of the organs retrieved. Their role in the perioperative management of the donor may affect the outcomes of organ transplantation. Hence anesthesiologist plays a pivotal role in perioperative management of organ donors. Their role aims at counteracting the associated unique physiologic derangements and targets optimization of oxygenation of the organs intended for procurement.

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Prospective Organ Donor


Despite the fact that there is a greater demand for organs than there are available for transplant, the responsibility to take care of potential donors increases. The main limiting factor is the availability of suitable donors and organs in organ donation. A multidisciplinary team approach is essential for successful organ donation. Donor organs should be normalized and maintained till the time of organ retrieval. Especially older people and marginal donors are also potential donor candidates, such cases need to be managed carefully, to improve the conversion rate and graft survival after donation. Intensivists play a vital role in the identification, declaration of brain death, and improving rates of graft survival by providing optimal care to potential organ donors.

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Highlights @ Kauvery

Second Chances

Dr. Prithika Chary as Chairperson for Mental health in the Rotary Club of Madras Temple City heard the story of a 22 year old girl who had received a heart transplant 9 years ago in an earlier meeting. Being a consultant Neurologist & Neurosurgeon in Kauvery & aware of an active transplant program in our hospital, she was inspired to dispel ignorance on this. She is also Honorary Advisory member of The Duchess Club a 22 year old women’s club started by 5 ladies to empower women. She felt since women are often decision makers in health matters in the family, they could be educated on this.

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Saluting Organ Donors - World Organ Donation Day 2023