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University Hospital in ul. Borowska ready for hand transplantation

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The team of transplant surgeons at Wroclaw University Hospital in ul. Borowska are the third in Poland to carry out hand transplantation surgeries. The unit has just received the official permit from the Ministry of Health. With one more centre of this kind in Trzebinia, Wroclaw is the second in the whole of Lower Silesia.

"We have just received a permit from the Ministry of Health to perform hand transplantation with organs obtained from deceased donors," confirms Bogusław Beck, Deputy Director for Medical Affairs at Wroclaw University Hospital. "This means we are turning a new leaf in the history of Wroclaw's transplant surgery.

The permit hardly means that the hospital will immediately set down to perform hand transplantation. "First off, we need to prepare medical apparatus and provide suitable training to our medical teams," says Professor Jerzy Gosk, Head of the Traumatology and Hand Surgery Clinic at Wroclaw University Hospital.
Doctors at Wroclaw University Hospital are going to collaborate with eminent experts on hand transplantation from the Świętej Jadwigi (Saint Hedvig) Hospital in Trzebnica. Preparations to the first surgery may take more than a year. Replantation, whereby severed limbs are re-implanted after injuries, will be provided only by the Trzebnica hospital.

Rarely performed

Hand transplantation is one of the rarest surgeries. So far, it has been performed only 80 times globally. Nine such transplants have been completed by the medical team at the Świętej Jadwigi (Saint Hedvig) Hospital in Trzebnica.
"We realise that hand transplantation is rare, abut we are now ready to provide postoperative care to patients from Trzebnica. The fact that we can now perform such surgeries at the University Hospital means we can provide comprehensive and continuous care to our patients," says Jerzy Gosk.
"The two adjacent centres give better chances to find a suitable donor," adds Professor Jerzy Jabłecki from the Świętej Jadwigi (Saint Hedvig) Hospital in Trzebnica. "We are happy to share the experience with our colleagues from Wroclaw".

Kidneys and liver

Wroclaw has three different transplantation centres in which kidneys, liver or heart transplants are performed. These include: the Military Hospital in ul. Weigla, the hospital in ul. Kamieńskiego and Wroclaw University Hospital in ul. Borowska. They have performed a total of twelve transplants this year, mainly kidneys. "The growing number of transplantation centres in Poland, and we have 25 such centres these days, fails to translate into a larger number of transplants as the donors are extremely difficult to find," says Paweł Chudoba, PhD, a transplantation surgeon from Wroclaw University Hospital. The hospital in ul. Borowska runs Poland's second largest kidney transplantation clinic.

Wroclaw University Hospital is the leading centre in Lower Silesia for kidney transplants, and it also runs an active programme for kidney transplantation from living donors. In 2014, 52 transplants were made (with only 3 transplants obtained from living donors). The hospital also provides liver transplantation. 5 liver transplants were completed last year, and 4 such surgeries have been performed this year. The Ministry of Health is now preparing an amendment to facilitate patients who are waiting for a transplant: it is going to be the transplant that travels to the patient and not the other way round. The Ministry has also revealed the latest statistics. Last year, a total of 1156 kidneys, including 52 kidneys at the hospital in ul. Borowska, were transplanted in Poland.

Donors are rare

Unfortunately, the number of transplants has stagnated over the last few years. This is particularly striking with living organ donors for family transplantations. "50% of the kidneys transplanted in the US come from living donors, in Poland this is only 4%," confirms Dorota Kamińska, PhD, from the Nephrology and Transplantation Medicine Clinic at Wroclaw University Hospital. She also adds that it is necessary to raise the awareness of family transplantation among patients and their families.

In order to raise the awareness, transplantation surgeons run educational campaigns at schools and dialysis centres. As many as 1.6 thousand people receive dialysis in Lower Silesia. "One kidney is just what you need to survive, your life will not be any shorter and it won't suffer in quality. Many years of research in the US goes to prove this," says Professor Romuald Zdrojowy, Head of the Urological Oncology Clinic at Wroclaw University Hospital.

The doctors also assure that kidneys are obtained from living donors with a minimally invasive method called laparoscopy, and the patients are spared suffering and released from hospital after two or three days, on which they can immediately return to their activities. The donor, just like the recipient, is provided with 10 years of mandatory health care. and supervision They argue that each person can be a donor and give this most precious of gifts to other people. Both in life and after death.

Information on transplants
Transplantation office at the University Hospital in ul. Borowska, telephone: 71 733 20 40, calls are made 7.30 an and 3 pm

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