MIL OSI Translation. Region: Russian Federation –
The girl, whom the doctors of the S.M. Kirov underwent a unique operation for orthotopic liver transplantation for fulminant liver failure, successfully underwent rehabilitation and was prepared for discharge from the clinic of the Academy.
This operation was performed for the first time in St. Petersburg.
Before entering the academy in critical condition, the patient was treated in one of the city’s medical institutions in the intensive care unit. Despite the intensive therapy, the child’s condition rapidly deteriorated, severe liver dysfunction progressed, acute renal failure with anuria, hemostasis disorders with the development of severe quagulopathy and disseminated intravascular coagulation (DIC) developed.
The girl was transferred to an artificial kidney apparatus. Over the next two days, vascular insufficiency joined, which required the use of drugs that support the circulatory system. Symptoms of depression of consciousness and respiratory failure appeared, the patient was transferred to artificial lung ventilation. Coma and multiple organ failure were diagnosed.
At the request of the leadership of the St. Petersburg Health Committee, the patient was consulted by the chief transplantologist of the Russian Ministry of Defense, the head of the hospital surgery clinic, Ilya Dzidzava, and indications for urgent liver transplantation were established.
The military doctors began to carry out the most complex surgical intervention less than two hours after the patient was hospitalized. The operation lasted six hours and was completed successfully.
Currently, her rehabilitation is nearing completion, the girl is preparing for discharge.
The current transplantation was preceded by a certain period. The clinics of the Military Medical Academy have long been engaged in surgical hepatology, they have mastered the whole range of complex interventions, including resection interventions and vascular reconstruction.
By order of the Minister of Defense of the Russian Federation, since 2016 at the S.M. Kirov, a solid organ transplant program was opened, and in the same year the first series of liver transplants was successfully performed.
Since 2017, the concept of a departmental system for coordination and organ transplantation has been developed at the Russian Ministry of Defense. A center for coordinating organ donation for the Armed Forces of the Russian Federation was created at the Multidisciplinary Clinic.
In total, seven liver transplants have been performed at the Military Medical Academy in the last month.
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EDITOR’S NOTE: This article is a translation. Apologies should the grammar and / or sentence structure not be perfect.