Lung Transplant - Procedure, Criteria, Donor, Recovery

Lung Transplant - Procedure, Criteria, Donor, Recovery

A lung transplant is a surgical procedure. Surgeons replace a dysfunctional and suffering respiratory organ with a new and healthy one. It usually takes at least 3 to 6 months to recover from a Lung transplant. The procedure is a solution for people suffering from severe respiratory organ illness. It eases respiration. The patient is also able to sustain for long.  The process leaves out several surgery complications. Some of these associated risks may be challenging for life too. 

It is thus essential for the treatment team to adopt necessary precautions. They must inform the patients about the risks involved in the procedure.

Reason for transplant surgery

People usually come to the doctor with severe end-stage diseases in their respiratory organs. The doctors offer this treatment to individuals with challenging symptoms. Conditional severity also led the doctors to consider Lung Transplant surgery. Individuals with the following diseases are befitting Respiratory Organ movement candidates:

Chronic obstructive pulmonary diseases. These include emphysema and chronic bronchitis,
Idiopathic pulmonary fibrosis.
The process also offers a good resolution for cystic fibrosis.
Idiopathic pulmonary arterial hypertension.
However, organ movement reasons may vary among individuals with the said conditions. In respiratory illnesses usually, smoking destroys alveolus tissues. For diseases like Idiopathic Pulmonary Illness, transplant involves removing the connective tissues. They have replaced the respiratory organs.

The End-stage Lung Failure

Lungs help in our respiratory process. It usually functions by receiving air from outside and expelling air back to the space.

We know the former as inhalation and the latter as exhalation. 

It is a ventilator function. It depends on several factors. These include normal functioning of the brain, spinal cord, chest muscles, abdomen, neck, and rib cage. The lungs functionality also plays a pivot role.

The disease can affect any of these functionalities. It ultimately affects lungs functionality without influencing the lung in actuality.

Lungs perform another function. 

They call it gas exchange. 

It involves absorbing the right amount of oxygen in the body. It also includes expelling the right amount of carbon dioxide into the air.

Our limb performs this at the interface between the air sac and the blood vessels within its space. 

Diseases can influence our capacity to intake oxygen and expel carbon dioxide by damaging this area.

You will get an irreversible lung failure when this occurs. It is also progressive. Doctors call it an end-stage lung failure.

Patients get this if:

The lung tissues get fibrosis. Excessive smoking can also damage the path. Medical science calls it emphysema. Sometimes, it also occurs from pulmonary hypertension. The ailment affects lung blood vessels.

Criteria and Requirements

Undergo multi-stage and complicated evaluation processes before having a respiratory organ movement treatment. Your consulting doctor will transfer you to a regional transplant center near your address. There, the junior-level consultants will meet you to gather more information about your disease. Meet them several times before they could gather those to full length. Before deciding treatment for you, the consulting team will look into your family support, psychological makeup, and other medical conditions. They need to consider your financial back-ups too to schedule a befit treatment pattern for you.

The tests involve:

Pulmonary function appreciation.
Cardiac Stress.
Coronary artery catheterization.
Chest X-ray.
Bone mineral density test.
Chest CT scan.
Blood Tests for kidney and liver functions.
A complete blood count test.
Test to screen the blood type. Such a test will also help identify the antibodies present in the blood. The report helps in finding the appropriate donor.

Appendage movement is not always an end-stage lung failure solution

Transplantation has certain limitations. It also carries some complications. Your doctor is the ultimate decider about the treatment you fit in the best. He will assess your condition and weigh the process benefits on its pretext. He will recommend the process when its benefits outweigh the risks.

Finding an Organ Donor
Once the treatment team in the transplant becomes confident of your suitability, they place your name on the National Organ Recipient list. The Lung Allocation Score puts the individuals on the list based on their rank. They release such lists every week.  Getting placement in the list involves meticulous calculations. They consider two prime things:

What is the life expectancy of the patient after having the procedure?
How long the person sustains after having the transplant?
People with higher scores get the premier opportunity to get an organ.

The procedure

Your Indian physician team would admit you to the transplant center. It forms the first step of their organization for the surgery.

In the care unit, the team members will examine your lungs. They need it to ensure that you are ready to accept the movement process. The doctors need to complete the process within a brief time. The transplanted limb will not sustain for long in the open air. Therefore, doctors help it get a new place to start activities.Pleura transference can be both single and double. Each one has its benefits and drawbacks. The treatment team chooses the type based on the condition. 

The surgeon:

Cuts on one side of the chest. He also makes another incision across the complete breadth of the chest-front. In case of double movement, he makes an incision on each chest side. You will be under general anesthesia for the whole duration. Some of the patients require maintaining cardiopulmonary bypass throughout the process. It involves pumping gas-enriched gas by a machine. It is required as your pulmonary organs cannot pump out blood for the time being.

Post-treatment expectations

You will stay in the Intensive Care Unit in the transplant center immediately after the procedure. A breathing machine will act on you. They will remove the machine no sooner you regain your breathing ability. Your care team will put you under close observation for the next few days. They will monitor for infection and organ rejection. Several other complications may also arise in this period. 

You may be discharged home with some nursing help after three weeks. You will be making frequent visits to your doctor in the first month of post-surgery. He will check that your food and medication go in the right way. Your treatment team would fix some physiotherapy programs for you. In the first month, you will report to the doctor that those are going accordingly. With improvement in the situation, your visit frequency would lessen. Medicines doses will also get a reduced shape. Do not forget to report any physical disarray during your recovery period.

Associated issues

The bronchi encounter much more rejection than other appendages. Moreover, the rejection risks are higher because of its continual exposure to the environment.

Such rejection can either be acute or chronic. The former happens within weeks following the procedure.

Chronic infection happens over months or years.

Your treatment team puts you under surveillance to check it’s going up or coming down.

Lung Transplant Cost in India

Lung transplant cost in India is approximately USD 25,00 to 35,000, which is very low and more economical than other western countries. Get more information about lung transplant advantages, disadvantages, risks, Etc.


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