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ORGAN TRANSPLANTS Procedure

Vascularized Composite Allotransplantation (VCA)

Reconstructs traumatic limb loss by transplanting donor hand, skin, bone, tendons, and nerves.

Hand transplant (composite tissue)
Hand transplant (composite tissue)

Clinical Overview & Disease Information

Reconstructs traumatic limb loss by transplanting donor hand, skin, bone, tendons, and nerves.

Signs & Symptoms

Early Symptoms
  • Progressive organ failure symptoms
  • Early Traumatic hand or forearm amputation
Common Symptoms
  • Persistent Traumatic hand or forearm amputation
  • End-Stage Organ Dysfunction
  • Organ replacement requirement
Emergency Symptoms
  • Acute organ failure crisis
  • Acute graft rejection episode

Causes & Risk Factors

Primary Causes & Etiology

  • Upper extremity amputation
  • Autoimmune organ destruction
  • End-stage organ fibrosis

Who is at Higher Risk?

  • Patients with end-stage Upper extremity amputation
  • Transplant committee cleared recipients

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
HLA Tissue Typing & Crossmatch for Hand transplant (composite tissue) Donor-recipient anatomical and immunological compatibility

Comprehensive Treatment Options

Minimally Invasive / Allotransplantation for Hand transplant (composite tissue)

Specialized allotransplantation procedure restoring vital organ function.

Key Advantages:
Complete organ function restoration
Eliminates organ replacement support
Long-term survival gain

Multidisciplinary Surgical Care for Hand transplant (composite tissue)

Comprehensive surgical allotransplantation & postoperative immunosuppression.

Recommended For:
State transplant committee approved patients
End-stage organ failure

Advanced Medical Technologies Available in Partner Hospitals

3D CT Angiogram Volumetry HLA High-Resolution Typing Ex-Vivo Organ Perfusion

Possible Complications If Untreated

Acute graft rejection
Immunosuppression toxicity
Opportunistic infections

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Transplant ICU Stay 3 to 5 days
Step-Down Ward 10 to 14 days
Outpatient Maintenance 3 to 6 months

Recommended Post-Treatment Diet

  • Hygienic cooked food diet
  • High protein recovery diet

Essential Lifestyle Changes

  • Take Tacrolimus at exact 12-hour times
  • Daily temperature & weight logging
When to Contact a Doctor Urgently:
Fever > 100.4°F
Sudden drop in urine or graft pain
Jaundice

Prevention & Long-Term Health

Lifelong immunosuppressive medication adherence
Regular Tacrolimus C0 trough levels

Frequently Asked Questions

What is the graft survival rate for Hand transplant (composite tissue)?

1-year graft survival rates exceed 90% in JCI accredited transplant centers of excellence.

Top Recommended Specialists Available

Dr. Rajesh Misra

Dr. Rajesh Misra

Chairperson - Anaesthesia

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Dr. Biswarup Purkayastha

Dr. Biswarup Purkayastha

Consultant – Heart & Lung Transplant and Vascular Surgery

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Dr. Kunal Vinayak

Dr. Kunal Vinayak

Associate Consultant - Urology & Kidney Transplant

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Dr. Rajesh Kumar Padhan

Dr. Rajesh Kumar Padhan

Chief – Academic and Training, Gastroenterology and Hepatology

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Dr. (Col) S. V. Kotwal

Dr. (Col) S. V. Kotwal

Chairperson Emeritus and DNB Teacher - Urology

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Dr. Varun Mittal

Dr. Varun Mittal

Head - Kidney Transplant & Associate Chief - Uro-Oncology & Robotic Surgery (Unit I)

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Dr. Rajiv Yadav

Dr. Rajiv Yadav

Chairperson Urology & Head, Urologic Oncology & Robotic Surgery (Unit I)

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Dr. Shweta Bansal

Dr. Shweta Bansal

Unit Head & Sr. Consultant - Respiratory Disease & Sleep Medicine (Unit II)

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Dr. Surendra Nath Khanna

Dr. Surendra Nath Khanna

Chairperson - Adult Cardiac Surgery & CTVS

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Dr. G. Arya Prakash

Dr. G. Arya Prakash

Head - Anesthesia for Liver Transplant & Critical Care

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Dr. Giriraj Bora

Dr. Giriraj Bora

Chairperson - Liver Transplant & Sr. Consultant - GI & HPB Surgery

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Dr. Lakshmi Kant Tripathi

Dr. Lakshmi Kant Tripathi

Chief - Nephrology (Unit II)

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Dr. Manju Aggarwal

Dr. Manju Aggarwal

Chief - Medical Services & Chairperson - Nephrology

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Dr. Mukesh Kumar Gupta

Dr. Mukesh Kumar Gupta

Head - Critical Care (Unit III) & Heart & Lung Transplant Team

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Dr. Narender Kumar

Dr. Narender Kumar

Head - Urology and Kidney Transplant Anesthesia

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Dr. Rajesh Misra

Dr. Rajesh Misra

Chairperson - Department of Anaesthesia & Perioperative Medicine

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Dr. Rati Bansal Goel

Dr. Rati Bansal Goel

Head - Critical Care (Unit III)

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Dr. Sakshi Karkra

Dr. Sakshi Karkra

Head - Pediatric Gastroenterology & Hepatology

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Dr. Shelly Mittal

Dr. Shelly Mittal

Chief - Anaesthesia & Regional Anaesthesia

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Dr. Shyam Sunder Mahansaria

Dr. Shyam Sunder Mahansaria

Head - Liver Transplant & Sr. Consultant - GI & HPB Surgery

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Dr. Swati Aggarwal

Dr. Swati Aggarwal

Principal Consultant - Anaesthesia

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Dr. Y Naveen

Dr. Y Naveen

Head - Anesthesia for Oncology & Transplant

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Dr. Mahendra Kumar

Dr. Mahendra Kumar

Consultant – Liver Transplant & HPB Surgery

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Dr. Dinesh Bansal

Dr. Dinesh Bansal

Chief - Nephrology & Interventional Nephrology (Unit III)

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Hand transplant (composite tissue) $160,000 $40,000 $40,000 $45,000

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Commonly Prescribed Medications

  • Tacrolimus 1mg
  • Mycophenolate Mofetil 500mg
  • Prednisone 5mg

International Patient Guide

Estimated Stay in India:
HLA & Legal Committee Approval 5 - 7 days
Transplant Surgery & Stay 14 - 21 days
Outpatient Clearance & Flight 30 - 45 days total stay
Documents to Bring:
  • Passport & Visa
  • State Transplant Authorization Committee Approval