The only surgeon in Russia, making liver transplants to children - Sergey Gauthier, Head of the Branch Department of the RNCC. On his account already more than 200 saved little lives.
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The history of Pasha Molchanova, which in his 3 years looks at one and a half, could not be listened to and writing if I did not know — She has a happy end. The operation was successful, and, according to doctors, the child will now be corrected. And three years ago, discharged from the Suzdal Hospital, Elena Molchanova was sure that she had a healthy kid.
Doctors did not find any deviations. After a couple of months, the boy suddenly began to yellow and lose weight. Doctors first in the local clinic, and then in the regional hospital lost in guesses: what a strange disease? Invented: the baby has no biliary paths, and decided to restore them. Made an operation. And the child became… die. Later it turned out that an unnecessary operation only accelerated the development of the liver cirrhosis.
— When Pasha got to us in October 2006, it remained very little to live, — Remembers Olga Cirobalov, Doctor of Medical Sciences, Chief Researcher of the Branch of the Liver Transfer of the RNCH . — It was painful to watch him. The child is brown-green and, which is even worse, was constantly scratched. Distinguished liver does not neutralize harmful substances, they «Cut» in blood and cause unbearable itching. The child is impossible to wear, he can't move, think — Mother constantly scratches him to create him at least someone else to live.
Usually in our clinic children who require liver transplantation, a kinded donor is selected, from which a piece of liver is taken and a child is transplanted. But neither mother nor dad pasha could be for him donors for health. The only salvation was a transplanting child a piece of liver of the deceased adult.
And long days and clock waiting for the Donor authority began — year and four months. Operated at night. A third of the body transplanted Pasha, and most — In the Research Institute of Transplantology 35-year-old woman. By the way, the deceased person whose liver was divided by Pasha and a woman, saved the life of a threely fatal people. In the same Research Institute of Transplantology, his heart has successfully transplanted, in the emergency care. N. IN. Sklifosovsky — one kidney, and in the center of surgery — Second.
— We do not have the instructions for the establishment of the brain death in children, and only after that, the donor can withdraw organs for transplantation, — says Sergey Gautier. — Because of what we cannot transplant children, for example, the heart. Therefore, it is waiting for it in a foreign clinic, a Linar boy, who at the Institute at Professor Beria temporarily put a mechanical device instead of a heart.
— Until now, in children who need liver transplant, which did not find a donor in the family, was also the only chance — to go abroad, — continues Olga Tsirofova. — In Europe, this operation costs 85 thousand. Euro, and recently the European Union adopted a law in which donor bodies can be used almost only for EU citizens. But now these children can be treated in our country.
The liver can be recovered, even if a person remains only one quarter as a result of the operation from her. But divide the donor liver on three or four patients is unlikely to succeed. There is experience in transplanting one liver Two adults — half a half. Results of bad. But for a child and an adult such a method is ideal.
