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|BLK Centre for Bone Marrow Transplant|
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|BLK Centre for Renal Sciences & Kidney Transplant|
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|BLK Centre for Plastic & Cosmetic Surgery|
|BLK Children Heart Institute|
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|BLK Centre for Critical Care|
BLK Centre of Renal Sciences comprises of the Nephrology & Urology Departments working together as a cohesive Unit.
The Department of Nephrology and Kidney Transplant is equipped with the most advanced dialysis machines and offers round the clock service with facility for Continuous Renal Replacement Therapy (CRRT) for hemo-dynamically unstable patients and Continuous Ambulatory Peritoneal Dialysis. Isolation rooms dedicated to Hepatitis B/C & HIV patients are at par with global standards.
The Department of Urology and Kidney Transplant is equipped with the latest diagnostic and therapeutic facilities like Uroflowmetry, Ultrasound, Doppler, Lithotripsy and Holmium Laser. The Department has dedicated suites for endoscopic procedures ensuring quality treatment as well as complete privacy and comfortable surroundings. The Department is unique in that from its inception it has provided with the latest cutting edge technology in all subspecialties of Urology like ESWL, Laser surgery, , Laparoscopic surgery, Urodynamics.All the urological conditions like infections, birth defects, stone disorder, infertility, urinary incontinence, tumors, prostate enlargement, obstructions etc. are handled and treated by best urologist in India.
An Andrology wing also handles matters pertaining to Male Infertility, Male sexual dysfunction and related disorders.
The BLK Center for Renal Sciences and Kidney Transplant is well supported by world standard laboratories and by excellent interdepartmental cooperation from the Departments of Anaesthesia, Cardiology, Pathology, Immunology, Radiology and Interventional Radiology.
The BLK Renal Sciences and Kidney Transplant Centre is part of the BLK Super Speciality Hospital– one of India’s largest, private sector tertiary care hospitals. It was conceived to provide state-of-the-art comprehensive Nephrology, Urology and Renal Care Management.
Our highly experienced team consists of internationally recognized Nephrologists and Urologists, who are experts in all aspects of diagnostic and therapeutic procedures related to Renal Transplantation, Nephrology and Urology. At the Centre we have pioneered the ‘Combined Management’ approach with an aim to optimize patient care on a personalised level.
Our ultramodern Centre offers you comprehensive diagnostic and therapeutic services for both adult and pediatric Nephrological and Urological conditions, including the most complex of cases. We always strive to deliver the best in renal healthcare to those who seek advanced treatment in India. We are proud of our skilled and experienced team of experts who are internationally recognized for their pioneering work in Blood Pressure Control, Endourology, Reconstructive Urology, Uro-oncology, Pediatric Urology, Female Neurourology, Andrology and Renal Transplants. Other facilities at the Centre include 24x7 Haemodialysis, Hemodiafiltration, CRRT, CAPD Plasmapheresis and Renal Transplantation.
The hospital is committed to maintaining the highest clinical governance standards and patient centric care, incorporating cutting edge technologies in the field. We take pride in the fact that a large number of patients across the world choose BLK as their preferred international healthcare destination. In fact, over the years patients not only from India but also from Iran, Iraq, the Middle East, the African Subcontinent and other SAARC nations (Afghanistan, Bangladesh, Nepal etc.) have shown great faith in the expertise of our illustrious team.
We take pride in the fact that a large number of patients across the world choose BLK as their preferred international healthcare destination. In fact, over the years patients not only from India but also from Iran, Iraq, the Middle East, the African Subcontinent and other SAARC nations (Afghanistan, Bangladesh, Nepal etc.) have shown great faith in the expertise of our illustrious team.
Clinical, Critical Nephrology and Blood Pressure Clinic
We offer the latest innovations in renal care and clinical therapies to patients of all ages. State-of-the-art tests and procedures help us make an accurate diagnosis and develop an effective treatment plan. Critically ill kidney patients with multiple co-morbidities are managed in our world-class Renal Centre with robust support from multidisciplinary experts.
You will be glad to know that patients with very complex kidney problems, such as multi-drug resistant Nephrotic Syndrome, Glomerulonephritis, acute and chronic Renal Failure are successfully treated here. We also treat patients with very rare forms of kidney diseases, which fail to find a cure at other hospitals.
Our Nephrologists are well versed in a broad range of treatment options. They use their skills to give every patient the best possible care, and work very closely with our team of Urologists to provide the most integrated comprehensive kidney care.
The Nephro OPD facility is dedicated to offer you the highest standard of professional medical care for all types of kidney diseases. Here, patients are treated by experienced Nephrologists and cared for by highly qualified nurses and technicians with the support of the most advanced equipment and technology available.
Specialized Transplant OPD / Access Clinic
Our Specialized Nephrology Clinics offer an extensive range of renal services supported by the latest in technology and a team of highly skilled medical experts and allied health professionals, who are committed to support and serve the high volume of renal patients. The various specialized Nephrology Clinics available at the Centre are:
Critical Care Nephrology
Critically sick patients need very intensive round-the-clock specialized attention. SLEDD and CRRT is given to them 24x7, as this technology is critical in treating patients with multi-organ failure and hemodynamics instability.
We have 18 state-of-the-art haemodialysis machines and a double RO system for ultra-pure water to provide haemodialysis as per AAMI standards. There are separate isolation rooms for HCV, HBsAg and other seriously ill patients. Vascular access procedures like Shunt, AV Fistula, AV Graft Central Line and Permacath Insertions are done regularly.
With the latest available treatment and technology, we ensure that you will have access to the best possible, consistent and safe dialysis treatment round-the-clock, administered by a highly skilled Nephrology team and Dialysis staff.
We have a robust Renal Transplant Program where Nephrologists, Urologists and Transplant Surgeons work as a complete team. Our success rate is comparable to the best in the world. In the last two years, we have performed the highest number of Cadaver Renal Transplants in North India. We perform Laparoscopic Donor Nephrectomy to ensure that the donor suffers minimal pain and benefits from early recovery.
Before transplant, complete evaluation of the patient is done as a rule which may include investigations like Renal Biopsy, Renal Functioning Test and assessment of reversible causes as and when needed.
After the patient is stabilized, they are counselled on various aspects of transplant, including evaluation of potential donors, preparation of recipient and cross matching of tissue typing to ensure successful Renal Transplant.
The Transplant ICU is manned by highly efficient nurses and doctors. The ICU has lamellar airflow so that post-operation infections are minimized as much as possible.
We also offer Preemptive Kidney Transplant, Highly Antigenic Kidney Transplant, Re-Transplant and Transplantation in HIV Positive patients. ABOincompatible Kidney Transplant are also done at the Centre
Home Peritoneal Dialysis and Home Haemodialysis
Home Peritoneal Dialysis can be done right at home for your complete convenience. Patients and relatives are personally trained by the BLK technical staff to save time, money and energy spent in travelling to the hospital thrice a week. What's more, it involves fewer requirements for blood transfusion and less restrictions on food and fluid intake.
All arrangements pertaining to home haemodialysis machine, RO supply and technical staff are arranged by the BLK Centre for Renal Sciences & Kidney Transplant. Patients and their relatives are taught to perform haemodialysis at home, usually at night time before sleeping, 3 to 7 nights a week, as per the patient's condition. We also provide technician for dialysis at home.
Here, procedures like PCNL (Percutaneous Nephrolithotomy), Ureteroscopy and most commonly TUR of Prostate, Bladder Tumours and Endoscopic Removal of Bladder Stones, and Optical Internal Urethrotomy are performed regularly. Also, procedures like PCNL, Ureteroscopy and Cystolithotripsy are done for all types of stones of the Kidney, Ureter or Bladder. Urethral strictures are treated with Optical Internal Urethrotomy. The Centre also has a state-of-the-art ESWL Machine Dornier Compact Sigma for OPD treatment of renal stones. We also have a Urodynamic machine for voiding problem evaluation.
Excellent results are being offered for all variety of upper and lower tract reconstructive problems including Pyeloplasty, Ileal replacement of Ureter, Boari Flap, Augmentation Cystoplasty and the whole range of Urethral and Genital Reconstruction. Urethroplasty using buccal mucosa or penile skin is routinely done for complex Urethral Strictures.
We are one of the few centres in India where Advanced Laparoscopic Urology is being performed regularly.
Our surgical speciality focuses on Cancers of the urinary tracts of males and females, and on the reproductive system of males. Cancers of the organs covered by Uro-oncologist include the Kidneys, Adrenal Glands, Ureters, Urinary Bladder, Urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).
The following Cancer operations are performed here:
*Open and Laparoscopic
This sub-speciality relates to male sexual disorders such as impotence and male infertility. Erectile Dysfunction (Impotence) Psychosexual Counselling, Intracavernosal Injections and Vacuum Erection Devices are regularly used. Penile Implants are being used for those not responding to the above treatment.
The treatment broadly comprises of patient evaluation of symptoms of lower urinary tract including frequency and urgency of urination; burning while urination; blood in urine and incontinence. Complete investigations are done to reach a conclusion of management of Benign Prostatic Hypertrophy (BPH) or Prostatic Cancer. Patients of BPH are offered Laser Prostatectomy or Conventional Surgery (TURP). Patients of Prostate Cancer are subjected to TRUS Biopsy and further staging protocol.
A comprehensive clinic for patient evaluation of stone causation wherein a metabolic profile of every patient is recommended and necessary steps to prevent stone recurrence are explained to the patient. All surgical aspects of the stone treatment are discussed at length with our patients.
Community Outreach Program
At the Centre we conduct regular CMEs to educate doctors and the community about kidney disorders and effective measures that can help prevent progression of kidney diseases. We also impart training to technicians, doctors and patients in Home Dialysis and CAPD Programs. In addition, the Centre also provides full technical support to Safdarjung Hospital for Renal Transplantation and follow-up care as part of supporting the community through such initiatives.
Talk to our transplant coordinator for assistance any time any where
|S No.||Coordinator name||Designation||Department||Contact Number|
|1||Poonam Tiwari||Transplant Coordinator||Renal Sciences & Kidney Transplant||9716058908|
|2||Sheemol M.C.||Transplant Coordinator||Renal Sciences & Kidney Transplant||8510868834|
What is Organ Donation?
Organ Donation is the process of surgically removing an organ or tissue from one person, referred to as the Organ Donor, and placing it into another person, referred to as the recipient. An Organ Transplant may save the recipient's life or significantly improve his or her health and quality of life.
Why is Organ Donation necessary?
In India 2,00,000 men, women and children need a new Kidney every year and 1,00,000 need a new Liver. It has been estimated that 19 million patients with heart failure in India require advanced heart faliure treatment. But unfortunately, more than 95% of them fail to get an organ and the consequences are, therefore, severe and in most cases, fatal.
A donor has the power to influence and save many lives. Thousands of people on the waiting-list die every year waiting for an Organ Donor. You have the power to change that. If you are willing to accept organs when in need, you need to be willing to donate them when someone else is in need.
The unavailability of Organ Donors have reached an all-time high in the nation, and it's time to step up and change that on a personal and national level. The Prime Minister of India has also underlined the importance of Organ Donation and has appealed to the people of the nation to be proactive in spreading awareness about it.
What is the importance of registering as a donor?
An Organ Donation Registry makes it easier to identify potential donors and their location. It also enables a hospital to determine if a brain-dead patient is a registered donor or not, and save crucial time by acting fast accordingly.
Who can donate Organs and Tissues?
There are two forms of Organ Donation – Living and Deceased.
Living Donor: Anybody who is 18 years or above, who can voluntarily authorise the removal of any of his or her organ and / or tissue, during his or her lifetime, as per prevalent medical practices for therapeutic purposes.
Deceased Donor: Anyone, regardless of age, race or gender, with the consent of his or her family or near relative, can donate an organ and / or tissue after his or her death. If the Deceased Donor is under 18 years of age, then the consent from one of the parents or any near relative authorised by the parents is essential. Medical suitability for donation is determined at the time of death.
Which Organs and Tissues can one Donate?
One Organ Donor can save upto eight lives. One eye and tissue donor can save or improve the lives of upto 50 people. This means a donor can potentially impact the lives of upto 58 people.
Someone who is brain dead can donate vital organs like Heart, Liver, Kidneys, Intestines, Lungs and Pancreas.
What is Deceased Organ Donation?
Acquiring organs from a donor after his or her death, to be transplanted into other persons in order to save or improve their lives is called Deceased Organ Donation. The organs and tissues upon death of the person are assessed for suitability and then surgically transplanted into one or more people who are on the transplant waiting list. In the western countries, about 70% of donated organs come from Deceased Donors.
Brain death is the total and irreversible loss of all brain function and an indicator of final death just few hours away. Usually, these are the circumstances under which the donation of vital organs most commonly takes place.
What is Living Organ Donation and which organs can be donated while one is alive?
When a person decides to donate an organ or partial organs while still alive, it is called Living Organ Donation. As one pair of Kidneys is present in the human body, one Kidney is most commonly donated by Living Donors.
Other organs that can be donated by a Living Donor include a lobe of a Lung, partial Liver, Pancreas or Intestine.
About 30% of donated organs come from Living Donors in developed nations. In India, virtually all donations are from Living Donors. This may soon give rise to organ sale and trafficking, an illegal and debasing activity.
What is Organ Donor Pledge Registry?
The National Organ Donor Register is a computerised database that records the wishes of people who have pledged for Organ and Tissue Donation. One can pledge during one’s life to donate organs and / or tissues post death by submitting a form in the prescribed format. One has the option to withdraw the pledge through intimation at any given time after taking the pledge.
How do I discuss Organ and Tissue Donation with my family?
You can explain to your loved ones how your decision to donate in the unlikely event of your untimely death will offer hope to others whose lives can be saved or enhanced through a transplant.
What does my religion say about Organ Donation?
All the major religions in India approve of Organ and Tissue Donation and consider it as a gift of life. There can be no bigger charity than giving life to as many as 58 people, helping them experience their prayers turning into realisation
All major religions either accept Organ Donation or accept the right of individual members to make their own decision.
What are the major reasons hampering Organ Donation in India?
To begin with, there is a major lack of awareness about Organ Donation in India. Recent surveys have revealed that people would have come forth to donate if they had received more information.
Another major reason for the shortage of organs is that many people aren't registered Organ Donors even though they wish to be so. Many potential donors delay discussing the matter of Organ Donation with their families. In the unfortunate event of an accident, it is the family who has to decide because the person in question is in coma or in no position to communicate.
Myths and misconceptions about Organ Donation discourage potential donors from making the decision to donate organs or tissues after death.
How has the Southern part of India become a major source of donated organs in India compared to the rest of the country?
Through the combined and sustained efforts of the government and a few renowned NGOs of Tamil Nadu and Andhra Pradesh, people were informed about Organ Donation on a wide scale.
The success of Tamil Nadu model is attributed to the coming together of both Government and Private Hospitals, NGOs and the State Health Department. Most of the deceased donation programmes have been developed in the southern states of India.
Northern part of India lacks the intense spread of awareness campaigns when it comes to Organ Donation. We have been trying our best to spread awareness amongst the citizens in Delhi-NCR through multi-media campaigns, outreach programmes etc. in order to increase the number of donors from the capital and surrounding areas.
What does the current law say about Organ Donation?
Organ Donation is permitted by law in India and is covered under the "Transplantation of Human Organs Act 1994." The act allows Organ Donation by living and brain-dead donors. In 2011, an amendment was made to the act to include donation of human tissues and it was renamed as "Transplantation of Human Organs & Tissues Act 2011.”
However, the law does prohibit any sort of commercialisation of Organ Donation. The current law makes donations easy only from a near relative, i.e. spouse, son, daughter, father, mother, brother, sister or grandparents.
Currently, buying and selling of organs from either Living or Deceased Donors is legally prohibited in order to prevent commercialisation of organs.
What determines my rank on the waiting list?
The allocation of organs to recipients on the waiting list is based on pre-determined criteria.
Wealth, race or gender of a person on the waiting list has no effect on when and whether a person will receive a donated organ or not. The Transplantation of Human Organs & Tissues Act 2011 makes it illegal to buy or sell human organs in India.
What are the chances of survival for a recipient after a successful Heart Transplant?
Advancements in technology and treatments that suppress the immune system and prevent infections, have greatly improved the rate of survival among Cardiac Transplant recipients. Success in Kidney and Heart Transplant is around 90% on an average.
75% of transplant patients live at least five years after surgery. However, in certain cases, organ failure may also happen or there might be a relapse of earlier disease.
How can I become an Organ Donor?
You can become an Organ Donor by simply registering with us at BLK Super Speciality Hospital. By becoming a registerd Organ Donor, you can spread Organ Donation awareness and increase the number of organs being donated in India on an annual basis.
How has USA established their Organ Donation process?
The process of Organ Donation in the USA begins with the identification of all potential Organ Donors. Hospitals are required by the Centers for Medicare and Medicaid Services (CMS) to identify and refer all potential Organ Donors to the local Organ Procurement Organization (OPO). One commonly used approach is to consider any ventilator-dependent patient who is expected to die imminently as a potential Organ Donor to be referred to the OPO. This includes patients who are being evaluated for brain death and patients whose families have decided to withdraw life support.
How has Spain established their Organ Donation process?
The success of the Spanish Model is frequently linked to Spain's legal framework of presumed consent. The opting-out system for consent to donation was introduced in 1979. However, it had no impact whatsoever for a decade that followed the enactment of the Transplantation Law.
The National Transplant Organization (ONT) was established in 1989 which introduced Transplant Donor Coordinators (TDCs) as an essential component of the so-called Spanish Model of Donation and Transplantation. The excellent results of the Spanish Model can be attributed to the key role of TDCs.
A further essential component of the Spanish Model is the Quality Assurance Programme, as a tool to define and monitor the potential of deceased Organ Donation. A positive attitude of the entire hospital towards donation is essential for the adequate functioning of the process.
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Dr. Sunil Prakash
Sr. Consultant & Director
Nephrology & Renal Transplantation
Dr. (Lt. Col.) Aditya Pradhan
Dr. H. S. Bhatyal
Advisor & Sr. Consultant
Dr. Ashwini Goel
Nephrology & Renal Transplantation
Dr. Yajvender Pratap Singh Rana
Dr. Pawan Mehta
Dr. Vineet Narang
Dr. Rohtash K Sharma