Doctors Ugra conquered another professional Everest. This week it became known that the doctors of the Khanty-Mansiysk OKB successfully conducted a heart transplant operation. Thus, the life of the district center was saved. By the way, the patient was already discharged from the hospital. He feels well, cardiologists continue to watch him.
For this result, specialists from 2014 from 2014, then to transplantation in Ugra were just beginning to prepare. At first, the kidney transplant was mastered, and then the liver. And here is a new height.
In the transplant of hearts took part 7 doctors. Surgeons, anesthesiologists and perfoziologists were assisted 6 nurses. When the clamp was removed from the aorta and the blood was allowed, the transplanted heart immediately clogged in the right rhythm, and the patient was able to breathe independently.
Sergey Stefanov, Head of the Cardiosurgical Branch of the OKB G. Khanty-Mansiysk: "This is the moment when the new heart is sewn into the organism of the recipient, it takes off the clamp with aortic and the heart begins to fight, then this is a moment a big victory as if all the brigade. We have an experienced cardiac surgery and cardioachaseological brigade. We carry out the whole range of interventions. And the transplantation was another new operation that is now in our arsenal. " This patient was observed with cardiologists for more than 10 years. After myocardial infarction lived with chronic heart failure. In 2019, he was included in the waiting list. Elena Kutifa, Chief Doctor of the District Clinical Hospital of Khanty-Mansiysk: "In January, he arrived already with a decompensed form of heart failure, that is, there was not much of this patient. And by such a coincidence, we were able to perform heart transplantation. " In order to independently carry out such operations, Ugra doctors have been trained in the best European clinics, and in the National Center for Transplantology and Artificial Body by Academician Valery Shumakova. Last fall, Moscow experts came to Khanty-Mansiysk. Estimated the equipment of the hospital and the professionalism of the team. Sergey Gauthier, the main freelance specialist transplantologist of the Ministry of Health of Russia, "They have a good future, I was in the hospital, I know these guys. We must do the second, third, fourth, fifth. Understand during this time, what can you do better that you do not need to do, you see? This is a matter of practice. " Today in a list of waiting for a new heart - 12 people. Another 17 have certain testimony for transplantation, but they need to be addressed. Mikhail Skorobogatov, the main freelance transplantologist of the Ugra Health Department: "There is a program. On the establishment of brain death, we have the right to fulfill the exhibition of organs within 6 hours and when such a person appears such material, we take blood samples, carry out research and determine that the authorities of a deceased person can approach patients from waiting list. " In Ugra, only specialists of the Khanty-Mansiysk OKB have a license for the extraction and transplantation of donor bodies. Another 7 circumferential medical cores form the so-called donor base. However, their remoteness does not play doctors on hand. Rustem Akhtyamov, a transplantologist, head of the surgical department No. 3, OKB G. Khanty-Mansiysk: "The optimal kidney is considered up to 24 hours, although the maximum in young donors can be up to 48 hours according to statistics. For the liver it is limited already somewhere 12 hours, but for the heart - no more than 4 hours is considered. In a person who has a worn heart and transplant the other, another chance will not beIf we can still return patients with incommelive kidney and can continue to live, filtering blood with apparatus, then for the liver and for the heart there will be no such features. "
In donor centers and back the operating brigade from Khanty-Mansiysk delivers the center of medicine disasters. Often, doctors together with the authority take a recipient with them on the aircraft. By arrival it is examined. The transplant is performed if the patient has no complications.
"We use general surgical instruments. Container transport, where we lay out all the tools you need. Directly the organs themselves are transported in isothermal containers. Simple bag, in general. Here we are laying bags with organs and close all the referee. In this container, we transport a special perfusing solution. We use the CUSTODIOL solution - a mixture of amino acids that ensure the preservation of organs, some minimum power, while they are disabled from blood flow, "explains the transplantologist by Rustem Akhtyamov.
The survival rate of grafts in Ugra is not lower than the Middle Eastern level, the same can also be said about recipients. This was achieved thanks to good postoperative care.
Alexey Dobrovolsky, Director of the Ugra Health Department: "Probably waiting for the next year or two that at least one institution will appear in the district where the district transplantation program will work, where it will grow and develop. The number of patients who will be able to get such help will increase. And then believe me, knowing today the possibilities of not only Khanty-Mansiyskaya, but also Surgut medicine, there is also very close to this today. " For 5 years of work on the account of the South Transplantation Service - 44 kidney transplant operations, 7 liver transplantation, and now the first successful heart transplantation. According to the calculations of doctors, about 15 Ugra, about 15 yugors need to replace the cardiac motor. Our doctors have already done our doctors to this goal.