Angie's LIST Guide to
Transplant surgery

Damaged organs make it very difficult to live a normal, healthy life. Fortunately, with today’s modern medicine, tissue and organ transplant surgery is an increasingly possible and very feasible option for many candidates.
 
Medical specialists focus on specific areas of health care. Depending on the condition, a specialist can offer more individualized treatment.
Medical specialists focus on specific areas of health care. Depending on the condition, a specialist can offer more individualized treatment.
 
 
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What organ transplant surgery entails

Organ transplants are difficult surgical procedures in which a team of doctors surgically removes an unhealthy organ from a patient's body and replaces it with a new healthy organ. Some organ transplant candidates may have been born with a genetic defect that poses a risk of organ failure. If an organ is injured in a traumatic accident, it may not work properly again. Certain illnesses can also damage organs or cause them to fail prematurely. Examples of such diseases include polycystic kidney disease, cirrhosis of the liver, heart disease and cystic fibrosis.

To date, surgeons can successfully replace only certain organs including the heart, kidneys, liver, lungs, pancreas, intestines and thymus. Doctors can also replace tissues such as bones, tendons, corneas, skin, heart valves and veins. Within the past few years, doctors have conducted successful face transplants.

Organ donation and procurement

A transplant organ comes from a willing organ donor. In some cases, the donor may be alive and coherent. Living donors are often related to the patients receiving their organs, but as long as the organ is a match, this isn't necessary. Kidneys are the transplanted organs that come most often from living donors, but parts of other organs can be transplanted as well.

Most commonly, donor organs derive from people who recently have been declared brain dead. Voluntary organ donors sign an organ donation form while they are mentally competent. 

Don't worry about your age or medical condition when registering. The transplant team figures out how viable a donor's organs at the time of death. Despite what some people believe, doctors will work just as hard to save your life when you're sick or injured, whether you're an organ donor or not. Also, organ and tissue donation does not cost the donor family.

According to the U.S. Department of Health and Human Services, more than 100, 000 are waiting to receive an organ, and each day an average of 18 people will die from a shortage of donor organs. Eight lives can be saved from just one person's generous gift of his or her organs.

To become a donor, sign up in your state. Once you've registered, be sure to tell your family and doctor, indicate yourself as an organ donor on your driver's license and update your legal documents like your will, advance directives and living will.

What organ recipients should expect

Before patients can receive donated organs, they're placed on an organ transplant waiting list. First, though, a patient must meet with a transplant team, a team of surgeons and nurses that will evaluate the patient's health and mental well-being. Because donated organs are in short supply, the team will choose only organ recipients who they have reason to believe will take care of their new organs. Patients who are unwilling to give up dangerous habits, such as drug abuse, will often not be placed on organ transplant waiting lists.

Once an organ becomes available, local transplant teams with patients in need of compatible organs are notified immediately. If the transplant team decides that the organ is suitable and the patient is healthy enough to undergo surgery, they will accept the organ. The organ must then be removed from the donor and transplanted as soon as possible.

After the surgery, there is a real risk that the patient's body and immune system will reject the foreign organ. Because of this, the patient receives anti-rejection medication immediately. Transplant patients will typically need to take these injections for the rest of their lives.

Many transplant patients will need to alter their lifestyles as well. They will need to work hard to do everything in their power to live a healthy life. This often means that they should avoid alcohol and drugs, including nicotine, as these can put undue strain on the donated organ. Transplant patients should also stick to a healthy diet and, if their doctors recommend it, a moderate exercise routine. Regular checkups are usually required to make sure that the organ is still working properly.

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